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发表时间:2019-2-5  浏览次数:377  
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Title:Total knee arthroplasty closure with barbed sutures

Abstract
Bidirectional barbed sutures, which do not require the tying of knots, have the potential to reduce closure times of total knee arthroplasty (TKA) wounds without adverse effect to wound security, cosmesis, or infection risk. In this retrospective study, data were reviewed from TKAs performed between January 2007 and September 2008. For 88 of these procedures, conventional absorbable sutures were used for interrupted closure of the retinacular and subcutaneous layers and for running closure of the subcuticular layer. For 90 procedures, bidirectional barbed absorbable sutures were used for running closure of the retinacular and subcutaneous layers. Surgeries performed with barbed sutures were significantly faster than those performed with conventional sutures (mean times of 74.3 minutes and 85.8 minutes, respectively, p < 0.001) with no detrimental clinical effects.


题目:锯齿缝线在膝关节置换术后伤口闭合中的应用

摘要
使用双向锯齿缝线时无需打结,可降低膝关节置换术(TKA)后伤口闭合时间,且对伤口安全性、外观及感染等无任何副作用。本前瞻性分析以2007年1月至2008年9月接受膝关节置换术的患者为研究对象。其中,88台手术使用常规可吸收缝线,缝合方式包括间断缝合(针对支持带与皮下组织)及连续缝合(针对表皮下组织)。另外90台手术使用可吸收锯齿缝线。缝合方式为连续缝合(针对支持带与皮下组织)。结果发现,可吸收锯齿缝线组患者伤口闭合所用时间较传统缝线明显降低(锯齿缝线组平均愈合时间74.3分钟;常规缝线组平均愈合时间85.8分钟; P<0.001),未发现不良反应。


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