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European Journal of Orthopaedic Surgery & Traumatology

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01-04-2020 | Knee-TEP | Original Article • KNEE - ARTHROPLASTY

Skin closure with 2-octyl cyanoacrylate and polyester mesh after primary total knee arthroplasty offers superior cosmetic outcomes and patient satisfaction compared to staples: a prospective trial

Authors: Kavin Sundaram, Nicolas S. Piuzzi, Brendan M. Patterson, Kim L. Stearns, Viktor E. Krebs, Michael A. Mont

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 3/2020

Abstract

Introduction

The goals of this study were to compare patient satisfaction and wound-related complications in patients receiving 2-octyl cyanoacrylate (glue) and polyester mesh for skin closure after primary total knee arthroplasty (TKA) versus staples.

Methods

A total of 60 knees in 54 patients undergoing TKA were enrolled in a prospective trial and randomized to receive either skin closure with glue and polyester mesh (n = 30) or a control group closed with staples (n = 30). Hollander wound cosmesis score (measured on a scale of 0–5, with 0 being the best) and visual analog scale (VAS) scores (range 0–100 mm) for patient satisfaction with wound cosmesis, as well as wound-related readmission, reoperation, and complications, including superficial surgical site infection, wound dehiscence, wound hematoma, stitch abscess, and wound discharge, were assessed at 6 weeks and 90 days after TKA. Baseline characteristics were not statistically significantly different between the groups (p > 0.05).

Results

At 6 weeks and 90 days, the Hollander wound cosmesis score was significantly lower (p < 0.01) in the glue and polyester mesh groups. Similarly, at 6 weeks and 90 days, the VAS for patient satisfaction with wound cosmesis was significantly higher (p < 0.01) in the glue and polyester mesh groups. The rate of superficial surgical site infection was 1/30 (3%) in glue and polyester mesh groups versus zero in the control group (p = 1.00). The rate of wound dehiscence was 1/30 (3%) in glue and polyester mesh groups versus zero in the control group (p = 1.00).

Conclusion

These results suggest that glue and polyester mesh closure may offer superior cosmetic outcomes to staples for skin closure in TKA.

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Title: Skin closure with 2-octyl cyanoacrylate and polyester mesh after primary total knee arthroplasty offers superior cosmetic outcomes and patient satisfaction compared to staples: a prospective trial
Authors: Kavin Sundaram
Nicolas S. Piuzzi
Brendan M. Patterson
Kim L. Stearns
Viktor E. Krebs
Michael A. Mont
Publication date: 01-04-2020
Publisher: Springer Paris
Keywords: Knee-TEP
Wound Dehiscence
Knee-TEP
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 3/2020
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-019-02591-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Skin closure with 2-octyl cyanoacrylate and polyester mesh after primary total knee arthroplasty offers superior cosmetic outcomes and patient satisfaction compared to staples: a prospective trial

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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