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  • Title: Barbed versus traditional sutures: closure time, cost, and wound related outcomes in total joint arthroplasty.
    Author: Smith EL, DiSegna ST, Shukla PY, Matzkin EG.
    Journal: J Arthroplasty; 2014 Feb; 29(2):283-7. PubMed ID: 24275262.
    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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