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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 2, 238-242.
doi: 10.1302/0301-620X.88B2.16923  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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A comparison of three methods of wound closure following arthroplasty

A PROSPECTIVE, RANDOMISED, CONTROLLED TRIAL

R. J. K. Khan, FRCS(Tr & Orth), Orthopaedic Surgeon1; D. Fick, MBBS, Registrar1; F. Yao, MBBS, Registrar1; K. Tang, MBBS, Registrar1; M. Hurworth, FRACS, Registrar1; B. Nivbrant, PhD, Professor1; and D. Wood, MD, Professor1

1 Perth Orthopaedic Institute, Hollywood Private Hospital, Nedlands, Perth 6009, Western Australia.

Correspondence should be sent to Mr R. J. K. Khan at 1/14-16 Hamersley Street, Cottesloe, Western Australia; e-mail: riazkhan{at}aol.com

We carried out a blinded prospective randomised controlled trial comparing 2-octylcyanoacrylate (OCA), subcuticular suture (monocryl) and skin staples for skin closure following total hip and total knee arthroplasty. We included 102 hip replacements and 85 of the knee.

OCA was associated with less wound discharge in the first 24 hours for both the hip and the knee. However, with total knee replacement there was a trend for a more prolonged wound discharge with OCA. With total hip replacement there was no significant difference between the groups for either early or late complications. Closure of the wound with skin staples was significantly faster than with OCA or suture. There was no significant difference in the length of stay in hospital, Hollander wound evaluation score (cosmesis) or patient satisfaction between the groups at six weeks for either hips or knees.

We consider that skin staples are the skin closure of choice for both hip and knee replacements.




eLetters:

Read all eLetters

A comparison of three methods of wound closure following arthroplasty.
K C Kong
J Bone Joint Surg Br Online, 7 Feb 2006 [Full text]
A comparison of three methods of wound closure following arthroplasty
Navraj S Atwal, et al.
J Bone Joint Surg Br Online, 12 May 2006 [Full text]
Are staples really better than subcuticular sutures?
Kedar J Deogaonkar, et al.
J Bone Joint Surg Br Online, 20 Jun 2006 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General