Barbed Sutures for Total Hip and Knee Arthroplasty Have Shorter Wound Closure Time and are Cost-Effective in Comparison to Traditional Sutures: A Systematic Review and Meta-analysis of 16 Randomized Controlled Trials

Raja, Balgovind S.; Gowda, Aditya K.S.; Choudhury, Arghya Kundu; Paul, Souvik; Kalia, Roop Bhushan

doi:10.1007/s43465-022-00638-z

Cited by 5 publications

(4 citation statements)

References 46 publications

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“…Some studies suggest that barbed suture increase the risk of wound complications, but others believe that they do not 16,20,24–28 . Good quality wound closure is essential in TKA surgery because of the high mobility of the total knee 29–31 . Zaruby et al argue that barbed suture are strong and safe 32 .…”

Section: Discussionmentioning

confidence: 99%

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Effect of barbed versus standard sutures on wound complications in total knee arthroplasty: A meta‐analysis

Wang

Zhao

et al. 2023

International Wound Journal

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A barbed suture has been demonstrated to be effective in shortening the stitching time and improving the aesthetic appearance of the stitches during the entire knee replacement. However, no meta‐analyses have been conducted specifically to evaluate the effect of the barbed thread on wound complications relative to the conventional suture. A comprehensive search of the PubMed database, the Embase database, the Cochrane Library and the Web of Science was performed to obtain search data up to June 2023, and only randomised controlled trials were included in this meta‐analysis. We used Review Manager 5.3 for data synthesis and analysis. This meta‐analysis included eight studies. It was found that the use of barbed sutures did not improve the incidence of the disease, the infection of the wound, the closure of the abscess and the injury. However, because of the limited sample size of the randomised controlled trials for this meta‐analysis, the data should be handled with caution. More high‐quality, large‐sample studies will be required to confirm the results.

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Section: Discussionmentioning

confidence: 99%

“…16,20,[24][25][26][27][28] Good quality wound closure is essential in TKA surgery because of the high mobility of the total knee. [29][30][31] Zaruby et al argue that barbed suture are strong and safe. 32 Chugaev et al argue that barbed suture are less time-consuming and safer than traditional suture.…”

Section: Discussionmentioning

confidence: 99%

Effect of barbed versus standard sutures on wound complications in total knee arthroplasty: A meta‐analysis

Wang

Zhao

et al. 2023

International Wound Journal

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“…More recently, novel suture techniques using knotless barbed sutures have been introduced as alternatives to traditional methods [ 8 , 9 ]. Theoretically, closure with barbed sutures should guarantee water-tight wounds and provide some advantages over traditional sutures, such as reduced closure time, wound infections, hematoma, dehiscence, and total healthcare costs [ 10 , 11 , 12 , 13 ]. The use of barbed sutures has already been extensively investigated in gynaecologic, urologic, laparoscopic, and plastic surgery [ 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…Within total joint arthroplasty (TJA), barbed sutures have been studied for closure of arthrotomy, fascial, and subcutaneous layers. Most of these studies are focused exclusively on a cohort of patients who underwent total knee arthroplasty (TKA) and mixed TKA-THA cohorts, but there is a general paucity of papers examining barbed sutures in the setting of THA [ 10 , 19 , 20 ]. A meta-analysis of randomised controlled trials (RCT) by Han et al [ 21 ] demonstrated lower costs and operative times and similar functional outcomes when barbed sutures were used compared to traditional sutures.…”

Section: Introductionmentioning

confidence: 99%

The Use of Barbed Sutures in Total Hip Arthroplasty: A Systematic Review on Clinical–Surgical Outcomes, Costs, and Complications

Russo,

Centola,

Nicodemo

et al. 2024

Healthcare

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Purpose: Total hip arthroplasty is among the most successful procedures in orthopaedic surgery. As the total number of total hip arthroplasties is constantly rising and it is expected to further increase, efforts oriented to optimise surgical pathways are investigated, aiming to reduce complications and diminish costs. The wound suturing phase is one of the steps that may be addressed. Barbed sutures have proved to reduce surgical times and enhance suture stability, then reducing wound-related complications in many surgical fields. The evidence on the use of this technology in total hip arthroplasty is still sparse, and its effect on patient outcomes and costs must still be clarified. Methods: A systematic search of studies published from 1 January 2000 to 1 March 2023 was performed. Two authors independently reviewed the literature available in eight electronic databases to identify papers eligible for inclusion. Results: A total of nine studies investigating 6959 procedures on 6959 patients were included in the final analysis. Five studies were randomised controlled trials, and the overall quality of studies ranged from moderate to high. The mean age of patients ranged from 43.8 to 70 years. BMI ranged from 25 to 31.9 kg/m2. The mean follow-up of studies ranged from 3 to 6 months. Conclusions: Evidence included in the systematic review suggested that the use of barbed sutures is associated with lower suturing times, complication rates, and overall costs when compared to the use of traditional suturing techniques. Level of evidence: II, systematic review of level I and II studies.

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The Examination of the Benefits of the Usage of Barbed, Knotless Suture in Capsule Repair During Total Knee Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Study

Cakmak,

Horoz

2023

JOIO

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Barbed Sutures for Total Hip and Knee Arthroplasty Have Shorter Wound Closure Time and are Cost-Effective in Comparison to Traditional Sutures: A Systematic Review and Meta-analysis of 16 Randomized Controlled Trials

Cited by 5 publications

References 46 publications

Effect of barbed versus standard sutures on wound complications in total knee arthroplasty: A meta‐analysis

Effect of barbed versus standard sutures on wound complications in total knee arthroplasty: A meta‐analysis

The Use of Barbed Sutures in Total Hip Arthroplasty: A Systematic Review on Clinical–Surgical Outcomes, Costs, and Complications

The Examination of the Benefits of the Usage of Barbed, Knotless Suture in Capsule Repair During Total Knee Arthroplasty: A Prospective, Double-Blind, Randomized Controlled Study

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