Comparison of clinical effects of different suture methods in total knee arthroplasty surgery
WEI Jian
HONG Ding-gang
Abstract：Objective To compare different suture methods in the clinical curative effects of total knee arthroplasty surgery. Methods Ninety-eight cases of elderly people with knee osteoarthritis were chosen as the research subjects who underwent total knee arthroplasty. Digital table method was used to randomize the patients into 3 groups. In 34 cases the incision was sutured with nickel titanium memory alloy stapling intradermal suture, in 32 cases the incision was sutured with the disposable skin stapler, and in another 32 cases the incision was sutured with Ethiconone silk, respectively. The suture time, switching frequency, taking out stitches suture reaction, exercise and the level of pain and healing of postoperative incision were recorded for statistical analysis. Results For Group A, the suture, exercise time, switching frequency, sutures reaction rate and removing the stitches out pain ( VAS ) score, time, centipede disease incidence, and degree of satisfaction were respectively ( 11.5 ± 1.5 ) min, ( 4.5 ± 1.2 ) times, 0%, ( 2.0 ± 1.0 ), ( 1.5 ± 1.0 ), ( 12.0 ± 1.0 ) days, 0% and 97%; for group B the parameters were respectively ( 9.0 ± 1.4 ) min, ( 5.0 ± 1.0 ) times, 22%, ( 4.0 ± 1.5 ), ( 3.5 ± 2.0 ), ( 13.0 ± 2.0 ) days, 19%, and 81%; and for group C, the parameters were respectively ( 11.4 ± 1.8 ) min, ( 5.5 ± 1.5 ) times, 38%, ( 5.5 ± 1.5 ), ( 4.5 ± 2.5 ), ( 14.0 ± 1.0 ) days, 41% and 72%. Group A had significantly better results in exercise and the VAS score, centipede disease incidence and degree of satisfaction, when compared to group B and group C ( P < 0.05 ). Conclusions Nickel titanium memory alloy stapling is simple to operate, with good appearance of incision, good healing, no pigmentation, no silk thread or stitching, and no centipede-like disease. The patient satisfaction is high, so it is worth popularization and application in the clinical practice.
Keywords：Knee jointArthroplastyreplacementkneeSuture techniques
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 900-903 )