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A Prospective, Randomized, Controlled Comparison of Adhesive Wound Closure Devices in an Orthopaedic Patient. J Am Acad Orthop Surg Glob Res Rev 2022; 6:01979360-202209000-00009. [PMID: 36155955 PMCID: PMC9512324 DOI: 10.5435/jaaosglobal-d-22-00179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 07/11/2022] [Indexed: 11/22/2022]
Abstract
The objective of this study was to compare Zip and Clozex with a typical closure using a running 3-0 Prolene suture.
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Polykandriotis E, Daenicke J, Bolat A, Grüner J, Schubert DW, Horch RE. Individualized Wound Closure-Mechanical Properties of Suture Materials. J Pers Med 2022; 12:jpm12071041. [PMID: 35887538 PMCID: PMC9316899 DOI: 10.3390/jpm12071041] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 06/19/2022] [Accepted: 06/22/2022] [Indexed: 11/16/2022] Open
Abstract
Wound closure is a key element of any procedure, especially aesthetic and reconstructive plastic surgery. Therefore, over the last decades, several devices have been developed in order to assist surgeons in achieving better results while saving valuable time. In this work, we give a concise review of the literature and present a biomechanical study of different suturing materials under mechanical load mimicking handling in the operating theatre. Nine different suture products, all of the same USP size (4-0), were subjected to a standardized crushing load by means of a needle holder. All materials were subjected to 0, 1, 3 and 5 crushing load cycles, respectively. The linear tensile strength was measured by means of a universal testing device. Attenuation of tensile strength was evaluated between materials and between crush cycles. In the pooled analysis, the linear tensile strength of the suture materials deteriorated significantly with every cycle (p < 0.0001). The suture materials displayed different initial tensile strengths (in descending order: polyglecaprone, polyglactin, polydioxanone, polyamid, polypropylene). In comparison, materials performed variably in terms of resistance to crush loading. The findings were statistically significant. The reconstructive surgeon has to be flexible and tailor wound closure techniques and materials to the individual patient, procedure and tissue demands; therefore, profound knowledge of the physical properties of the suture strands used is of paramount importance. The crushing load on suture materials during surgery can be detrimental for initial and long-term wound repair strength. As well as the standard wound closure methods (sutures, staples and adhesive strips), there are promising novel devices.
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Affiliation(s)
- Elias Polykandriotis
- Department of Plastic, Hand and Microsurgery, Sana Hospital Hof, 95032 Hof, Germany
- Department of Plastic and Hand Surgery, University of Erlangen Medical Center, 91054 Erlangen, Germany; (J.G.); (R.E.H.)
- Correspondence: ; Tel.: +49-15161-068069
| | - Jonas Daenicke
- Department of Materials Science and Engineering, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, Germany; (J.D.); (D.W.S.)
| | - Anil Bolat
- Department of Orthopedics, Theresien Hospital, 90491 Nürnberg, Germany;
| | - Jasmin Grüner
- Department of Plastic and Hand Surgery, University of Erlangen Medical Center, 91054 Erlangen, Germany; (J.G.); (R.E.H.)
| | - Dirk W. Schubert
- Department of Materials Science and Engineering, Friedrich-Alexander-University Erlangen-Nürnberg, 91054 Erlangen, Germany; (J.D.); (D.W.S.)
| | - Raymund E. Horch
- Department of Plastic and Hand Surgery, University of Erlangen Medical Center, 91054 Erlangen, Germany; (J.G.); (R.E.H.)
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Huang S, Xie Y, Huang Z, Wu J, Yang J, Tan Q, Chen G, Yuan J, Liu X, Wu H, Liu B, Zhou Y, Li S, Li X, Zhang G, Liu X, Wang J. Preoperative Predictors of Prolonged Hospital Stay in Accelerated Rehabilitation for Patients Undergoing Orthopedic Surgery. Bioinorg Chem Appl 2021; 2021:7832216. [PMID: 34840558 PMCID: PMC8626200 DOI: 10.1155/2021/7832216] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 09/25/2021] [Accepted: 10/04/2021] [Indexed: 12/27/2022] Open
Abstract
In this study, we performed a retrospective and prospective study of preoperative predictors of the length of stay (LOS) in three groups of surgical patients and conducted a clinical retrospective study of the current research status of preoperative predictors of LOS prolongation in three groups of patients under ERAS (enhanced recovery after surgery) mode, such as patient characteristics and comorbidities. Information such as patients' exercise preferences, exercise time, frequency and duration, footwear, location of knee osteoarthritis, whether there is a past history of knee injury, and smoking and drinking history was collected, and the research data of 312 patients undergoing the three operations were analyzed by SPSS. Meniscal injury-knee arthroscopy sample included a total of 104 people. Surgical sample for anterior cruciate ligament reconstruction included a total of 100 subjects. Knee osteoarthritis-knee replacement surgery sample included 148 people who were divided into two groups in a ratio of 1 : 1: one group used Mailuo Shutong pills during hospitalization (intervention group) and the other group did not (control group). The research conclusions are as follows. Meniscal Knee Arthroscopy. (1) Samples from different causes of injury showed significant differences for all injured sites. (2) Samples with different smoking and drinking histories all showed significant differences for the causes of injury. (3) Exercise hobby, exercise frequency, duration of each exercise and duration of exercise, and warm-up time before exercise all showed positive correlation. Anterior Cruciate Ligament Reconstruction Surgery. (4) Samples from different causes of injury showed significant differences for all the injured sites. (5) Age has a significant negative influence on the wearing of shoes at ordinary times. (6) Exercise hobby: the warm-up time before exercise had a significant negative influence on the injured area. (7) Two groups of analysis items of exercise frequency, exercise duration and exercise duration, preexercise warm-up time, and exercise hobby were typically positively correlated. Total Knee Arthroplasty. (8) There was a significant difference of 0.01 between the hospitalization days of the intervention group and the control group (p < 0.01), and the hospitalization days of the intervention group were significantly lower than those of the control group. These results indicated that Mailuo Shutong pills were of great significance for the treatment of orthopedic patients during the operation period in that it could effectively shorten the hospital stay of all orthopedic patients and strengthen the accelerated rehabilitation. (9) There was a significant positive correlation between the history of knee joint surgery and the use time of Mailuo Shutong pills. (10) There was a markable positive correlation between occupation and sports hobbies, sports time, frequency and duration, and footwear. There was a significant negative correlation between occupation and preexercise warm-up. (11) Exercise time, frequency, and duration have significant positive influence on BMI.
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Affiliation(s)
- Shu Huang
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Yong Xie
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Zhiyan Huang
- Lunan Pharmaceutical Group Co. Ltd., Linyi 276000, China
- State Key Laboratory of Generic Manufacture Technology of Chinese Traditional Medicine, Linyi 276000, China
| | - Jiangyi Wu
- Peking University Shenzhen Hospital, Shenzhen 518000, China
| | - Junjun Yang
- Key Laboratory of Biorheological Science and Technology, Ministry of Education College of Bioengineering, Chongqing University, Chongqing 400044, China
| | - Qiaoyin Tan
- College of Teacher Education, Zhejiang Normal University, Jinhua 321004, China
| | - Guanyu Chen
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Jun Yuan
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Xiaoni Liu
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Hui Wu
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Baorong Liu
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Yizhao Zhou
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Sihong Li
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Xiaosheng Li
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Guimin Zhang
- Lunan Pharmaceutical Group Co. Ltd., Linyi 276000, China
- State Key Laboratory of Generic Manufacture Technology of Chinese Traditional Medicine, Linyi 276000, China
| | - Xiangyang Liu
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
| | - Jing Wang
- Department of Orthopedics, Hunan Provincial People's Hospital (The First-affiliated Hospital of Hunan Normal University), Changsha 410005, China
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