Ueno Masaya, Kawano Shunsuke, Fujii Masanori, Takashima Satoshi, Kii Sakumo, Mawatari Masaaki
Department of Orthopedic Surgery, Faculty of Medicine, Saga University, Saga, Japan.
Research Center of Arthroplasty, Faculty of Medicine, Saga University, Saga, Japan.
J Orthop Sci. 2025 May;30(3):472-477. doi: 10.1016/j.jos.2024.07.007. Epub 2024 Aug 7.
STRATAFIX, a recently introduced barbed suture device, incorporates self-anchoring, knotless sutures with higher tensile strength and enhanced tissue-holding capacity compared to traditional braided absorbable sutures. This study aimed to compare the efficacy of barbed sutures and interrupted sutures in capsular and fascial closure during total hip arthroplasty.
We retrospectively reviewed the records of patients who underwent total hip arthroplasty between April 2017 and March 2021. Overall, 547 patients were evaluated, comprising 77 men and 470 women (mean age: 64.5 years). Among them, 330 patients were in the interrupted suture (control) group, while 217 were in the barbed suture (BS) group. Data on surgical time, perioperative hemoglobin, length of hospital stay, complications such as transfusions and delayed wound healing, and dislocation rates were collected during the latest outpatient follow-up and compared between the two groups.
No differences were observed in intraoperative blood loss between the groups. However, the BS group exhibited significantly longer operative time, as well as significantly lower postoperative blood loss, total blood loss, and postoperative hemoglobin drop compared to the control group. Dislocation was reported in two cases within the control group, whereas no instances were recorded in the BS group.
The use of barbed sutures demonstrated effectiveness in reducing perioperative blood loss for capsular and fascial closure during total hip arthroplasty.
STRATAFIX是一种最近推出的带倒刺缝合装置，它采用了自锚定、无结缝线，与传统编织可吸收缝线相比，具有更高的拉伸强度和更强的组织握持能力。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关节囊和筋膜闭合的疗效。
我们回顾性分析了2017年4月至2021年3月期间接受全髋关节置换术的患者记录。总共评估了547例患者，其中男性77例，女性470例（平均年龄：64.5岁）。其中，330例患者在间断缝线（对照组）组，而217例在带倒刺缝线（BS）组。在最近的门诊随访期间收集手术时间、围手术期血红蛋白、住院时间、输血和伤口愈合延迟等并发症以及脱位率的数据，并在两组之间进行比较。
两组术中失血量无差异。然而，与对照组相比，BS组的手术时间明显更长，术后失血量、总失血量和术后血红蛋白下降明显更低。对照组有2例报告脱位，而BS组未记录到脱位病例。
在全髋关节置换术中，使用带倒刺缝线在减少关节囊和筋膜闭合的围手术期失血量方面显示出有效性。
