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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 6, 725-729.
doi: 10.1302/0301-620X.91B6.21831  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Skin closure after total hip replacement

A RANDOMISED CONTROLLED TRIAL OF SKIN ADHESIVE VERSUS SURGICAL STAPLES

C. Livesey, BSc, Research Assistant1; V. Wylde, BSc, Research Associate1; S. Descamps, MD, Hip Fellow2; C. M. Estela, FRCS(Plas), Consultant Plastic Surgeon2; G. C. Bannister, MD, FRCS(Orth), Professor of Orthopaedic Surgery2; I. D. Learmonth, FRCS, FRCS(Ed), FCS(SA), Emeritus Professor1; and A. W. Blom, MD, PhD, FRCS(Tr & Orth), Head of Orthopaedic Surgery1

1 Clinical Science at North Bristol, Bristol Implant Research Centre
2 North Bristol Trust, Avon Orthopaedic Centre, Southmead Hospital, Bristol, BS10 5NB, UK.

Correspondence should be sent to Ms C. Livesey; e-mail: c.livesey{at}bristol.ac.uk

We undertook a randomised controlled trial to compare the outcomes of skin adhesive and staples for skin closure in total hip replacement. The primary outcome was the cosmetic appearance of the scar at three months using a surgeon-rated visual analogue scale. In all, 90 patients were randomised to skin closure using either skin adhesive (n = 45) or staples (n = 45). Data on demographics, surgical details, infection and oozing were collected during the in-patient stay. Further data on complications, patient satisfaction and evaluation of cosmesis were collected at three-month follow-up, and a photograph of the scar was taken. An orthopaedic and a plastic surgeon independently evaluated the cosmetic appearance of the scars from the photographs. No significant difference was found between groups in the cosmetic appearance of scars at three months (p = 0.172), the occurrence of complications (p = 0.3), or patient satisfaction (p = 0.42). Staples were quicker and easier to use than skin adhesive and also less expensive. Skin adhesive and surgical staples are both effective skin closure methods in total hip replacement.




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Glue: skin closure method or dressing?
Chris A Peach
J Bone Joint Surg Br Online, 18 Jun 2009 [Full text]
Authors' reply:
Christine Livesey, et al.
J Bone Joint Surg Br Online, 2 Jul 2009 [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