Clinical Orthopaedics and Related Research®

, Volume 470, Issue 1, pp 125–129

Perioperative Closure-related Complication Rates and Cost Analysis of Barbed Suture for Closure in TKA

  • Jeremy M. Gililland
  • Lucas A. Anderson
  • Grant Sun
  • Jill A. Erickson
  • Christopher L. Peters
Symposium: Papers Presented at the Annual Meetings of The Knee Society

DOI: 10.1007/s11999-011-2104-7

Cite this article as:
Gililland, J.M., Anderson, L.A., Sun, G. et al. Clin Orthop Relat Res (2012) 470: 125. doi:10.1007/s11999-011-2104-7

Abstract

Background

The use of barbed suture for surgical closure has been associated with lower operative times, equivalent wound complication rate, and comparable cosmesis scores in the plastic surgery literature. Similar studies would help determine whether this technology is associated with low complication rates and reduced operating times for orthopaedic closures.

Questions/purposes

We compared a running barbed suture with an interrupted standard suture technique for layered closure in primary TKA to determine if the barbed suture would be associated with (1) shorter estimated closure times; (2) lower cost; and (3) similar closure-related perioperative complication rates.

Methods

We retrospectively compared two-layered closure techniques in primary TKA with either barbed or knotted sutures. The barbed group consisted of 104 primary TKAs closed with running barbed suture. The standard group consisted of 87 primary TKAs closed with interrupted suture. Cost analysis was based on cost of suture and operating room time. Clinical records were assessed for closure-related complications within the 6-week perioperative period.

Results

Average estimated closure time was 2.3 minutes shorter with the use of barbed suture. The total closure cost was similar between the groups. The closure-related perioperative complication rates were similar between the groups.

Conclusions

Barbed suture is associated with a slightly shorter estimated closure time, although this small difference is of questionable clinical importance. With similar overall cost and no difference in perioperative complications in primary TKA, this closure methodology has led to more widespread use at our institution.

Level of Evidence

Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

Copyright information

© The Association of Bone and Joint Surgeons® 2011

Authors and Affiliations

  • Jeremy M. Gililland
    • 1
  • Lucas A. Anderson
    • 1
  • Grant Sun
    • 1
  • Jill A. Erickson
    • 1
  • Christopher L. Peters
    • 1
  1. 1.Department of Orthopaedic SurgeryUniversity of Utah School of MedicineSalt Lake CityUSA

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