Abstract
The increasing number of total joint arthroplasties done
on an annual basis, now over one million, along with evolving
reimbursement strategies, has helped drive the need for more
efficient performance of these cases [1]. This increased the demand
for efficiency has led to pursuit of faster, more effective, safer, and
cheaper surgical strategies. Soft tissue management is an integral
part of total joint arthroplasty and its outcomes. Poor soft tissue
handling can lead to dehiscence, infection, and unsightly scars.
One of the more recent techniques in wound closure is the use of
running barbed suture. The presence of either uni or bidirectional
barbs eliminates the need for knots, potentially decreasing the
time needed for closure and the number of sutures required and
eliminating the gaps between sutures in the layer being closed. This
paper summarizes the existing literature pertaining to the use of
these suture constructs in total joint arthroplasty.
The Use of Barbed Suture for Wound Closure in Hip and Knee Arthroplasty by Olga Solovyova in BJSTR
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