Critical Analysis of Varying Sutures and Impact on Cost Efficacy in Orthopaedic Surgery
Suture Review
DOI:
https://doi.org/10.55576/job.v2i2.16Keywords:
suture, barbed, cost, orthopaedic surgery, ortho, vicryl, businessAbstract
Objectives: Describe basic differences in sutures and the overall impact on cost efficacy.
Design: Review.
Intervention: Suture choice.
Main Outcome measurements: Cost.
Results and Conclusions: It is important for a surgeon to consider the advantages of various sutures and needles to ensure proper primary approximation, prevent infection or dehiscence, and close in a time-efficient manner. Modern-day sutures can be divided into three main categories: natural vs synthetic, monofilament vs multifilament, and non-absorbable vs absorbable. A newer monofilament barbed suture has been given increasing attention, as it reduces procedural times and ultimately operative costs.
Level of Evidence: IV, Review
Keywords: suture, barbed, cost, orthopaedic surgery, orthopedic surgery, cost analysis
(J Ortho Business 2022; Volume 2, Issue 2:pages 13-18)
References
Murtha AP, Kaplan AL, Paglia MJ, Mills BB, Feldstein ML, Ruff GL. Evaluation of a novel technique for wound closure using a barbed suture. Plast Reconstr Surg. May 2006;117(6):1769-80. doi:10.1097/01.prs.0000209971.08264.b0
Muffly TM, Tizzano AP, Walters MD. The history and evolution of sutures in pelvic surgery. J R Soc Med. Mar 2011;104(3):107-12. doi:10.1258/jrsm.2010.100243
Weitzul S, Taylor RS. Suturing technique and other closure materials. Surgery of the Skin. Philadelphia: Elsevier Mosby; 2005. p. 225-244.
Byrne M, Aly A. The Surgical Needle. Aesthet Surg J. 03 14 2019;39(Suppl_2):S73-S77. doi:10.1093/asj/sjz035
Byrne M, Aly A. The Surgical Suture. Aesthet Surg J. 03 14 2019;39(Suppl_2):S67-S72. doi:10.1093/asj/sjz036
Fowler JR, Perkins TA, Buttaro BA, Truant AL. Bacteria adhere less to barbed monofilament than braided sutures in a contaminated wound model. Clin Orthop Relat Res. Feb 2013;471(2):665-71. doi:10.1007/s11999-012-2593-z
Al-Houraibi RK, Aalirezaie A, Adib F, et al. General Assembly, Prevention, Wound Management: Proceedings of International Consensus on Orthopedic Infections. J Arthroplasty. 02 2019;34(2S):S157-S168. doi:10.1016/j.arth.2018.09.066
Liu S, Wang Y, Kotian RN, et al. Comparison of Nonabsorbable and Absorbable Suture in Total Knee Arthroplasty. Med Sci Monit. Oct 23 2018;24:7563-7569. doi:10.12659/MSM.910785
Patel SV, Paskar DD, Nelson RL, Vedula SS, Steele SR. Closure methods for laparotomy incisions for preventing incisional hernias and other wound complications. Cochrane Database Syst Rev. Nov 03 2017;11:CD005661. doi:10.1002/14651858.CD005661.pub2
Bartlett LC. Pressure necrosis is the primary cause of wound dehiscence. Can J Surg. Jan 1985;28(1):27-30.
Ruff GL. The history of barbed sutures. Aesthet Surg J. Sep 2013;33(3 Suppl):12S-6S. doi:10.1177/1090820X13498505
Paul MD. Bidirectional barbed sutures for wound closure: evolution and applications. J Am Col Certif Wound Spec. Apr 2009;1(2):51-7. doi:10.1016/j.jcws.2009.01.002
Chan VWK, Chan PK, Chiu KY, Yan CH, Ng FY. Does Barbed Suture Lower Cost and Improve Outcome in Total Knee Arthroplasty? A Randomized Controlled Trial. J Arthroplasty. 05 2017;32(5):1474-1477. doi:10.1016/j.arth.2016.12.015
Warner JP, Gutowski KA. Abdominoplasty with progressive tension closure using a barbed suture technique. Aesthet Surg J. 2009 May-Jun 2009;29(3):221-5. doi:10.1016/j.asj.2009.01.009
Sutton N, Schmitz ND, Johnston SS. Comparing outcomes between barbed and conventional sutures in patients undergoing knee or hip arthroplasty. J Comp Eff Res. 10 2018;7(10):975-987. doi:10.2217/cer-2018-0047
Bhende S, Burkley D, Nawrocki J. In Vivo and In Vitro Anti-Bacterial Efficacy of Absorbable Barbed Polydioxanone Monofilament Tissue Control Device with Triclosan. Surg Infect (Larchmt). 2018 May/Jun 2018;19(4):430-437. doi:10.1089/sur.2017.275
Szarmach RR, Livingston J, Rodeheaver GT, Thacker JG, Edlich R. A Review on the Innovative Surgical Suture and Needle Evaluation and Selection Program. J Long Term Eff Med Implants. 2017;27(2-4):319-337. doi:10.1615/JLongTermEffMedImplants.v27.i2-4.140
Gililland JM, Anderson LA, Barney JK, Ross HL, Pelt CE, Peters CL. Barbed versus standard sutures for closure in total knee arthroplasty: a multicenter prospective randomized trial. J Arthroplasty. Sep 2014;29(9 Suppl):135-8. doi:10.1016/j.arth.2014.01.041
Gililland JM, Anderson LA, Sun G, Erickson JA, Peters CL. Perioperative closure-related complication rates and cost analysis of barbed suture for closure in TKA. Clin Orthop Relat Res. Jan 2012;470(1):125-9. doi:10.1007/s11999-011-2104-7
Smith EL, DiSegna ST, Shukla PY, Matzkin EG. Barbed versus traditional sutures: closure time, cost, and wound related outcomes in total joint arthroplasty. J Arthroplasty. Feb 2014;29(2):283-7. doi:10.1016/j.arth.2013.05.031
Zhang W, Xue D, Yin H, et al. Barbed versus traditional sutures for wound closure in knee arthroplasty: a systematic review and meta-analysis. Sci Rep. Jan 25 2016;6:19764. doi:10.1038/srep19764
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