Dermabond wound closure in primary hip arthroplasty
Ashish Khurana1, Salim Parker, Vivek Goel
1Royal Gwent Hospital, Newport, United Kingdom. khurana_aashish@yahoo.com
Acta Orthopaedica Belgica
|August 9, 2008
Summary
Topical cyanoacrylate adhesive (Dermabond) offers a safe and effective method for primary hip arthroplasty wound closure. This technique resulted in high patient satisfaction with minimal complications like wound dehiscence or oozing.
Area of Science:
- Surgical Innovation
- Wound Healing
- Orthopedic Surgery
Background:
- Cyanoacrylate adhesives are utilized in various surgical fields for wound closure.
- Their application in primary hip arthroplasty requires further safety and efficacy assessment.
Purpose of the Study:
- To evaluate the safety and outcomes of using topical cyanoacrylate adhesive for primary hip arthroplasty wound closure.
Main Methods:
- A study involving 93 patients undergoing primary total hip replacement.
- Wound closure involved subcuticular vicryl sutures followed by topical cyanoacrylate adhesive application.
- No additional wound dressings were used post-application.
Main Results:
- The mean follow-up period was 7.2 months.
- One patient experienced wound dehiscence on postoperative day 3.
- Two patients exhibited minor serous oozing for the first 3-4 days.
Conclusions:
- Topical cyanoacrylate adhesive provides an immediate, watertight seal, acting as a microbial barrier.
- The technique demonstrates good tensile strength, aesthetic results, and high patient satisfaction in primary hip arthroplasty.
