Is a fat stitch required when closing a hip hemiarthroplasty wound without a drain?

Comparison of two alternative wound closure methods for tumor arthroplasty of the hip: A frequency matched cohort study

“…Optimal soft tissue and wound management are essential components of any orthopedic reconstructive procedure and are critically important, particularly in joint replacement surgery, if the increased rate of wound-related complications associated with PWD is to be kept to a minimum. 14 There is clear evidence that closure of the subcutaneous tissues significantly decreases the amount of wound discharge 15 as well as the incidence of wound complications 16 ; however, the optimal skin closure method for arthroplasty procedures in particular is more controversial. Skin adhesives have some obvious advantages similar to absorbable intra-cutaneous sutures, such as avoidance of trauma associated with staples and a dedicated removal procedure.…”

Operative Techniques to Reduce Hip and Knee Arthroplasty Complications in Morbidly Obese Patients

“…The prevention of infection and reduction of blood loss are of paramount importance. A constellation of suggestions from the literature for wound closure techniques include the use of bidirectional, running layers (>2-3 layers) of barbed sutures, including additional layers in thicker subcutaneous fat, which can then be reinforced in more superficial layers with interrupted sutures [ [62] , [63] , [64] ]. Running barbed sutures have been shown to decrease risk of infection due to their lower bacterial adherence [ 65 ], decreased time to wound closure, decreased cost [ 38 ], and decreased wound drainage and postoperative wound complications [ 66 ].…”