Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, 43-gil, 88 Olympic-ro, Songpa-gu, Seoul, South Korea.
Sci Rep. 2022 Mar 10;12(1):3942. doi: 10.1038/s41598-022-07862-5.
A barbed suture is a self-anchoring knotless suture hypothesized to shorten suture time and reduce the tension point of the wound. The purpose of this study was to compare the barbed suture and the interrupted suture for fascial closure in total hip arthroplasty. We retrospectively reviewed patients who underwent total hip arthroplasty from March 2014 to June 2020. We evaluated 324 cases among 274 patients consisting of 188 males and 86 females. We collected the following data: demographics, time for wound closure, the number of threads used, hemoglobin level, surgical site pain, and wound complications. Variables were analyzed for their association with closure time using multiple regression analyses between the barbed suture (the SFX group) and the interrupted suture (the Vicryl group). Mean closure time was 5.8 min lower and the mean number of sutures used was 2.2 lower in the SFX group versus the Vicryl group (P < 0.01 and < 0.01, respectively). There were no statistical intergroup differences in the mean largest hemoglobin drop, the incidence of transfusion, surgical site pain, and the incidence of wound complications. The use of barbed sutures for fascial closure in total hip arthroplasty effectively reduces the surgical time without increasing wound complications.
一种带倒刺的缝线是一种自固定无结缝线，据推测可以缩短缝线时间并减少伤口的张力点。本研究旨在比较带倒刺缝线和间断缝线在全髋关节置换术中的筋膜闭合效果。我们回顾性分析了 2014 年 3 月至 2020 年 6 月期间接受全髋关节置换术的患者。我们评估了 274 名患者中的 324 例，其中男性 188 例，女性 86 例。我们收集了以下数据：人口统计学资料、伤口闭合时间、缝线使用数量、血红蛋白水平、手术部位疼痛和伤口并发症。使用多元回归分析，分析了带倒刺缝线（SFX 组）和间断缝线（Vicryl 组）之间的闭合时间与各变量的关系。SFX 组的平均闭合时间比 Vicryl 组低 5.8 分钟，平均缝线使用数量比 Vicryl 组少 2.2 根（P<0.01 和 P<0.01）。两组间最大血红蛋白下降平均值、输血发生率、手术部位疼痛发生率和伤口并发症发生率均无统计学差异。在全髋关节置换术中使用带倒刺缝线进行筋膜闭合可有效缩短手术时间，而不会增加伤口并发症。
