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Related Experiment Video

Updated: Sep 28, 2025

Collecting Sleep, Circadian, Fatigue, and Performance Data in Complex Operational Environments
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Closing Time: One Last Call for Patient Preference.

Nihir Parikh1, Maxwell K Langfitt1, John Shilt1

  • 1Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Arthroplasty Today
|March 28, 2022
PubMed
Summary
This summary is machine-generated.

Most patients prefer subcutaneous sutures with Dermabond (SCD) over surgical staples (SS) for wound closure in hip and knee replacements. Preferences did not differ by gender or prior surgical history, suggesting a patient-centered approach is best.

Keywords:
DermabondPatient preferenceSurgical staplesTotal jointWound closure

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Area of Science:

  • Orthopedic Surgery
  • Wound Healing
  • Patient Outcomes

Background:

  • Wound closure in total hip and knee arthroplasty remains debated, with no significant clinical outcome differences between surgical staples (SS) and subcutaneous sutures with Dermabond (SCD).
  • Patient preference is a crucial factor when clinical outcomes are comparable.

Purpose of the Study:

  • To assess patient preference between SS and SCD for wound closure in arthroplasty.
  • To analyze how gender and previous surgical history influence these preferences.

Main Methods:

  • Patient surveys were conducted pre-operatively to determine wound closure preferences.
  • Demographic data and preferences were collected.
  • Statistical analyses included risk ratios, risk differences with 95% confidence intervals, and Firth-corrected logistic regressions.

Main Results:

  • Out of 163 participants, only 12 preferred SS. The majority favored SCD.
  • No statistically significant differences in preference for SS over SCD were found based on gender (P=.150 for relative risk, P=.156 for absolute risk).
  • Previous surgical history of SS did not significantly alter preference for SS over SCD (adjusted odds ratio=0.9, P=.839).

Conclusions:

  • Subcutaneous sutures with Dermabond (SCD) are preferred by most patients over surgical staples (SS) for arthroplasty wound closure.
  • Patient preference, rather than gender or surgical history, appears to be the primary driver.
  • A patient-centric approach, utilizing preferred closure methods when medically appropriate, is recommended.