Barbed Versus Traditional Sutures: Closure Time,Cost, and Wound Related Outcomes in Total Joint Arthroplasty |
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| Authors: | Eric L. Smith Steven T. DiSegna Pinak Y. Shukla Elizabeth G. Matzkin |
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| Affiliation: | 1. Tufts Medical Center, Department of Orthopaedic Surgery, Boston, Massachusetts;2. Tufts University School of Medicine, Boston, Massachusetts;3. Tufts Medical Center, Department of Orthopaedic Surgery, Boston, Massachusetts;4. Women''s Musculoskeletal Health, Brigham and Women''s Hospital, Department of Orthopedic Surgery, Boston, Massachusetts |
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| Abstract: | ![]()
The purpose of this study was to compare barbed sutures to traditional sutures in three domains: time, cost, and wound related outcomes in total knee arthroplasty (TKA) and total hip arthroplasty (THA). A total of 34 patients were enrolled in a prospective randomized controlled trial to assess time to wound closure and cost. In addition, a retrospective chart review of an additional 100 patients was conducted to further assess wound-related outcomes. On average, barbed sutures decreased time to wound closure by 9.72 min (P < 0.05) after controlling for length of incision, patient's BMI and number of physicians closing. Further, using barbed sutures saved an average of $549.59 per case. However, increased frequency and severity of wound complications were associated with barbed sutures. |
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| Keywords: | barbed suture Quill suture cost hip arthroplasty knee arthroplasty |
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