Barbed versus traditional sutures for wound closure in knee arthroplasty: a systematic review and meta-analysis

Sutures are an increasing focus of research in knee arthroplasty (KA). Whether knotless barbed sutures (KBS) are safe and efficient in KA remains controversial. The objective of our study is to compare the clinical outcomes of KA according to wound closure method: KBS versus knotted traditional sutu...

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Bibliographic Details
Published in:Scientific reports 2016-01, Vol.6 (1), p.19764-19764, Article 19764
Main Authors: Zhang, Wei, Xue, Deting, Yin, Houfa, Xie, Hui, Ma, Honghai, Chen, Erman, Hu, Dongcai, Pan, Zhijun
Format: Article
Language:English
Subjects:
692/308/409
692/699/1670/407
692/700/565/545/488
Arthroplasty (knee)
Arthroplasty, Replacement, Knee - adverse effects
Arthroplasty, Replacement, Knee - economics
Arthroplasty, Replacement, Knee - methods
Cell adhesion & migration
Costs and Cost Analysis
Female
Humanities and Social Sciences
Humans
Joint surgery
Knee
Male
Meta-analysis
multidisciplinary
Operative Time
Postoperative Complications
Publication Bias
Science
Suture Techniques
Sutures
Wounds
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Summary:Sutures are an increasing focus of research in knee arthroplasty (KA). Whether knotless barbed sutures (KBS) are safe and efficient in KA remains controversial. The objective of our study is to compare the clinical outcomes of KA according to wound closure method: KBS versus knotted traditional sutures (KTS). To clarify this, we conducted a systematic review and meta-analysis. Nine articles involving 10 studies were included in this study. The dataset consisted of 1729 patients with 1754 KA. Among these, 814 patients’ wounds were closed with KBS and 915 with KTS. Our analysis indicates that KBS is preferable for KA wound closure given its shorter wound closure time and lower total cost; postoperative Knee Society scores and complication rates were similar to those of surgeries using KTS. The subgroup analysis revealed that closure of arthrotomy with KBS appears to be associated with a lower risk of complications. This meta-analysis indicates that use of KBS in KA reduces operative time and cost. KBS is the preferred option for wound closures, including arthrotomy and reattachment of subcutaneous and subcuticular tissues. Given the possible biases, adequately powered and better-designed studies with longer follow-up are required to reach a firmer conclusion.
ISSN:2045-2322
2045-2322
DOI:10.1038/srep19764