Wound closure and wound monitoring in total hip arthroplasty. An overview

Andrea Mondini, Luca Bianchi, Luigi Zagra

Research output: Contribution to journalArticle

Abstract

Wound closure in primary and revision total hip arthroplasty is an essential and crucial step of the procedure. A recently published meta-analysis comparing metallic staples and sutures with stitches in hip procedures revealed that the risk of infection was four times greater when staples were used. This statement created concern among orthopaedic surgeons. The aim of this overview is to address the problem of THA wound closure and wound monitoring. Further well designed, randomised, controlled trials comparing staples vs traditional stitches and eventually vs skin adhesive are necessary in order to draw conclusions in elective THA, revision surgery and hip fractures. Orthopaedic surgeons need to have more evidence in order to be able to justify their method of wound closure. Monitoring of the wound by the surgeon in the postoperative period is recommended.

Original languageEnglish
JournalHIP International
Volume22
Issue numberSUPPL.8
DOIs
Publication statusPublished - Jul 2012

Keywords

  • Staples
  • Stiches
  • Suture
  • THA
  • Wound

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery
  • Medicine(all)

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