J Knee Surg
DOI: 10.1055/s-0037-1615812
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Role of Barbed Sutures in Wound Closure Following Knee and Hip Arthroplasty: A Review

Mhamad Faour
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio
,
Anton Khlopas
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio
,
Randa K. Elmallah
Department of Orthopaedic Surgery, University of Mississippi, Jackson, Mississippi
,
Morad Chughtai
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio
,
Frank R. Kolisek
Department of Orthopaedics, OrthoIndy, Greenwood, Indiana
,
John W. Barrington
Joint Replacement Center of Texas, Plano Orthopaedics and Sports Medicine, Baylor Medical Center of Frisco, Plano, Texas
,
Michael A. Mont
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio
› Author Affiliations
Further Information

Publication History

20 July 2017

22 November 2017

Publication Date:
02 January 2018 (eFirst)

Abstract

Lower extremity joint arthroplasty procedures often require a large incision to have an adequate exposure, which subsequently leads to lengthy wounds that may contribute to long closure, anesthesia, and overall operative times. The recently introduced knotless barbed suture may provide better outcomes, faster closure time, and decreased material utilization. Therefore, the aim of this study was to review the impact of barbed sutures on: (1) wound-related complications; (2) closure and operative time; (3) patient outcomes (range of motion and Knee Society Scores [KSS]); and (4) effects on cosmesis and patients' satisfaction. A literature search was performed using up to February 2017. Barbed sutures were associated with shorter closure times, shorter operative times, and larger cost savings per procedure as well as comparable wound complication rates after total joint arthroplasty. Although the current review is limited by the number of studies included, it demonstrates that overall, barbed sutures contribute to surgical efficiency when compared with conventional skin closure modalities.