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Barbed sutures for arthroplasty closure--does it decrease the risk of glove perforation?

Ran Schwarzkopf¹, Scott Hadley, Justin M Weatherall

¹Division of Adult Reconstruction, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003, USA. schwarzk@gmail.com

Bulletin of the NYU Hospital for Joint Diseases

|December 27, 2012

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Barbed sutures offer advantages for deep wound closure in total joint surgery, such as better stress distribution and knotless closure. This study found no increased risk of glove perforation when using barbed sutures in these procedures.

Area of Science:

Orthopedic Surgery
Biomaterials Science
Wound Closure Techniques

Background:

Barbed sutures are gaining interest for wound closure in total joint surgery due to improved biomaterials and barb design.
Their potential benefits include superior tensile stress distribution, knotless closure, and multi-layer closure capability, making them attractive for arthroplasty.

Purpose of the Study:

To evaluate the incidence of glove perforation associated with the use of barbed sutures for deep wound closure in total joint arthroplasty.
To assess the safety of barbed sutures concerning potential surgical glove compromise.

Main Methods:

A study was conducted involving total joint arthroplasty procedures utilizing barbed sutures for deep wound closure.
Surgical outcomes were monitored, specifically focusing on any reported instances of glove perforation during the procedures.

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Main Results:

The study found no increase in the incidence of glove perforation when barbed sutures were used for deep wound closure after total joint arthroplasty.
This indicates that the barbs on the sutures did not lead to a higher rate of glove compromise compared to traditional methods.

Conclusions:

The use of barbed sutures in total joint arthroplasty for deep wound closure is safe regarding glove perforation risk.
Barbed sutures can be considered a viable option for these procedures without compromising surgical team safety due to glove integrity.