TY - JOUR
T1 - Advances in closure technology and technique for total joint arthroplasty
T2 - Stitches in time
AU - Lawrie, Charles M.
AU - Nunley, Ryan M.
N1 - Publisher Copyright:
© 2018
PY - 2018/3
Y1 - 2018/3
N2 - Wound closure is an important, often under emphasized, step in total joint arthroplasty. Meticulous, evidence based, surgical technique is critical for optimizing postoperative function and preventing wound complications. Robust, anatomic closure of the joint capsule in total hip arthroplasty via the posterior approach is essential. Closure of the arthrotomy in total knee arthroplasty in flexion may improve postoperative range of motion, and the use of barbed suture improves efficiency and may lead to cost savings. Skin closure with running subcuticular monofilament suture with topical skin adhesives improves peri-incisional blood flow and decreases postoperative wound drainage.
AB - Wound closure is an important, often under emphasized, step in total joint arthroplasty. Meticulous, evidence based, surgical technique is critical for optimizing postoperative function and preventing wound complications. Robust, anatomic closure of the joint capsule in total hip arthroplasty via the posterior approach is essential. Closure of the arthrotomy in total knee arthroplasty in flexion may improve postoperative range of motion, and the use of barbed suture improves efficiency and may lead to cost savings. Skin closure with running subcuticular monofilament suture with topical skin adhesives improves peri-incisional blood flow and decreases postoperative wound drainage.
KW - Anatomic closure
KW - Total joint arthroplasty
KW - Wound complications
UR - http://www.scopus.com/inward/record.url?scp=85049580394&partnerID=8YFLogxK
U2 - 10.1053/j.sart.2018.04.005
DO - 10.1053/j.sart.2018.04.005
M3 - Article
AN - SCOPUS:85049580394
SN - 1045-4527
VL - 29
SP - 14
EP - 19
JO - Seminars in Arthroplasty
JF - Seminars in Arthroplasty
IS - 1
ER -