Department of Orthopedics, Shengzhou People's Hospital (the First Affiliated Hospital of Zhejiang University Shengzhou Branch), Shengzhou, P.R. China.
Int Wound J. 2023 Dec;20(10):4130-4137. doi: 10.1111/iwj.14307. Epub 2023 Jul 31.
A barbed suture has been demonstrated to be effective in shortening the stitching time and improving the aesthetic appearance of the stitches during the entire knee replacement. However, no meta-analyses have been conducted specifically to evaluate the effect of the barbed thread on wound complications relative to the conventional suture. A comprehensive search of the PubMed database, the Embase database, the Cochrane Library and the Web of Science was performed to obtain search data up to June 2023, and only randomised controlled trials were included in this meta-analysis. We used Review Manager 5.3 for data synthesis and analysis. This meta-analysis included eight studies. It was found that the use of barbed sutures did not improve the incidence of the disease, the infection of the wound, the closure of the abscess and the injury. However, because of the limited sample size of the randomised controlled trials for this meta-analysis, the data should be handled with caution. More high-quality, large-sample studies will be required to confirm the results.
一种带倒刺的缝线已被证明在整个膝关节置换术中有效缩短缝合时间并改善缝线的美观度。然而，尚未有专门的荟萃分析来评估带倒刺缝线相对于传统缝线对伤口并发症的影响。我们对 PubMed 数据库、Embase 数据库、Cochrane 图书馆和 Web of Science 进行了全面检索，以获取截至 2023 年 6 月的检索数据，并且仅纳入了这项荟萃分析的随机对照试验。我们使用 Review Manager 5.3 进行数据合成和分析。这项荟萃分析纳入了八项研究。结果发现，使用带倒刺的缝线并没有改善疾病的发生率、伤口感染、脓肿闭合和损伤的情况。然而，由于这项荟萃分析的随机对照试验的样本量有限，应谨慎处理这些数据。需要更多高质量、大样本的研究来证实这些结果。
