The Use of Barbed Sutures During Scoliosis Fusion Wound Closure

Mansour, Alfred; Ballard, Ryan; Garg, Sumeet; Baulesh, David M.; Erickson, Mark

doi:10.1097/bpo.0b013e3182a11eee

Cited by 21 publications

(17 citation statements)

References 10 publications

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“…KBS was associated with a shorter time to wound closure in our study, confirming results of previous studies 20 21 23 24 . Stephens et al .…”

Section: Discussionsupporting

confidence: 92%

“…Similarly, Mansour et al . found that KBS closure of spinal fusion incisions resulted in hospital charges for operation time that were 884.60 USD lower than those of surgeries using KTS 23 . The cost of operating room time estimates are based upon the average cost for professional staff and resources required for these cases.…”

Section: Discussionmentioning

confidence: 96%

“…Moreover, in a study by Mansour et al . of spinal fusions, KBS resulted in a 40% reduction in wound closure time 23 . KBS is self-anchoring, requiring no knots, thus allowing faster closure 13 .…”

Section: Discussionmentioning

confidence: 99%

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Barbed versus traditional sutures for wound closure in knee arthroplasty: a systematic review and meta-analysis

Zhang

Xue

Yin

et al. 2016

Sci Rep

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Sutures are an increasing focus of research in knee arthroplasty (KA). Whether knotless barbed sutures (KBS) are safe and efficient in KA remains controversial. The objective of our study is to compare the clinical outcomes of KA according to wound closure method: KBS versus knotted traditional sutures (KTS). To clarify this, we conducted a systematic review and meta-analysis. Nine articles involving 10 studies were included in this study. The dataset consisted of 1729 patients with 1754 KA. Among these, 814 patients’ wounds were closed with KBS and 915 with KTS. Our analysis indicates that KBS is preferable for KA wound closure given its shorter wound closure time and lower total cost; postoperative Knee Society scores and complication rates were similar to those of surgeries using KTS. The subgroup analysis revealed that closure of arthrotomy with KBS appears to be associated with a lower risk of complications. This meta-analysis indicates that use of KBS in KA reduces operative time and cost. KBS is the preferred option for wound closures, including arthrotomy and reattachment of subcutaneous and subcuticular tissues. Given the possible biases, adequately powered and better-designed studies with longer follow-up are required to reach a firmer conclusion.

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“…KBS was associated with a shorter time to wound closure in our study, confirming results of previous studies 20 21 23 24 . Stephens et al .…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 96%

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Barbed versus traditional sutures for wound closure in knee arthroplasty: a systematic review and meta-analysis

Zhang

Xue

Yin

et al. 2016

Sci Rep

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“…Closure can often be a time consuming and considerable part of the surgery, and reducing this time has been targeted as a method of cost management. Suture type has been determined to be a factor that may influence closure time and thus costs, as well as having effect on direct material costs (2).…”

Section: Introductionmentioning

confidence: 99%

“…Barbed sutures, and those that are bidirectional in nature, were recently introduced to allow for simultaneous closure from the wound center (3). Studies have demonstrated that the use of barbed knotless sutures allows for a faster and more efficient closure with less material used, while providing a watertight arthrotomy closure (2).…”

Section: Introductionmentioning

confidence: 99%

Economic evaluation of different suture closure methods: barbed versus traditional interrupted sutures

Elmallah¹,

Khlopas²,

Faour³

et al. 2017

Ann. Transl. Med.

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Healthcare systems are receiving increasing pressures from payers, such as the Centers for Medicare and Medicaid (CMS), to reduce the costs associated with procedures, and with the implementation of the Affordable Care Act, high costs are addressed through pay-for-performance programs. Thus, multiple areas of total knee arthroplasty (TKA) surgery are under scrutiny, including surgical times, material costs, and the costs of associated complications and readmissions. Suture type has been determined to be a factor that may influence closure times, as well as direct material costs. Therefore, the purpose of this review was to compare: (I) the cost of using barbed conventional interrupted sutures; (II) the additional cost of differences in complications, if any; (III) to extrapolate cost savings on a hospital and national level; and (IV) to discuss the role of these findings on hospital savings and the effect on bundled payments. It was found that the main factors affecting differences in overall costs between barbed and standard interrupted suture were material cost and closure time. Many studies have demonstrated greater cost savings with the barbed suture due to shorter operative times, despite the higher material costs. The majority of studies also demonstrated similar complication rates between the suture types, and thus these are unlikely to affect the cost difference. However, to the best of our knowledge, there are no TKA studies in the literature evaluating the effect of suture type and associated complications on lengths of stay and readmission rates. Thus, it is unclear how these cost savings will translate to reimbursements rates and the role that they might play in bundled payments. Several studies in other specialties demonstrate decreased infection rates with the use of barbed sutures, which, if found to be true for TKA can be extrapolated to 3 million dollars of savings in revision TKA costs. Further studies on this topic are needed to define these relationships.

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Incidence, Complications, and Novel Treatment Strategies: Pediatric Spinal Surgery and Management

Gibbs

Lovejoy

Ilgenfritz

2022

Musculoskeletal Infection

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The Use of Barbed Sutures During Scoliosis Fusion Wound Closure

Abstract: Level II-therapeutic study, prospective nonrandomized cohort.

Cited by 21 publications

References 10 publications

Barbed versus traditional sutures for wound closure in knee arthroplasty: a systematic review and meta-analysis

Barbed versus traditional sutures for wound closure in knee arthroplasty: a systematic review and meta-analysis

Economic evaluation of different suture closure methods: barbed versus traditional interrupted sutures

Incidence, Complications, and Novel Treatment Strategies: Pediatric Spinal Surgery and Management

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