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Related Experiment Video

Updated: Feb 8, 2026

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Skin closure in arthroplasty surgery: Current practice.

Jonathan Barrow¹, Hiren Divecha¹, Tim Board²

¹Trauma and Orthopaedic Registrar, North West Deanery, Manchester, UK.

International Wound Journal

|July 7, 2018

Summary

This summary is machine-generated.

Surgical clips are commonly used for hip and knee arthroplasty closure despite higher infection risks. Most surgeons would switch closure methods if evidence supported it, highlighting the need for comparative trials.

Keywords:

arthroplasty clips hip knee sutures

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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

Area of Science:

Orthopaedic Surgery
Wound Care
Surgical Innovation

Background:

Previous research indicates clips increase infection rates in orthopaedic surgery compared to sutures.
A significant increase in infection rates has been observed specifically in hip surgery when using clips.

Purpose of the Study:

To investigate current trends and influencing factors in skin closure techniques for hip and knee arthroplasty.
To identify potential changes in surgical practice regarding wound closure methods in the northwest region of England.

Main Methods:

An online survey was distributed to orthopaedic consultants in northwest England.
The survey gathered data on current superficial skin closure practices, influencing factors, and potential practice changes.
Responses from 45 consultants were analyzed, yielding a 40.2% response rate.

Main Results:

Clips were the predominant skin closure material for both hip (53%) and knee (63%) arthroplasty.
Surgeons' personal experience was the primary influence (84% hip, 93% knee) on their choice of closure material.
A majority of surgeons (66% hip, 76% knee) expressed willingness to change their practice if evidence supported alternative methods.

Conclusions:

Hip and knee arthroplasty surgeons frequently use clips, influenced by personal experience.
Most surgeons are open to adopting new closure materials if robust evidence is presented.
There is a clear need for a multi-center randomized controlled trial to establish optimal skin closure materials for arthroplasty, focusing on minimizing return-to-theatre rates.