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Do zip‐type skin‐closing devices show better wound status compared to conventional staple devices in total knee arthroplasty?

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Názov:	Do zip‐type skin‐closing devices show better wound status compared to conventional staple devices in total knee arthroplasty?
Autori:	Ick Hwan Yang, Eshnazarov Kamolhuja, Min Seok Ko, Kwan Kyu Park, Jae Han Ko
Prispievatelia:	College of Medicine, Dept. of Orthopedic Surgery, Jae Han Ko, Ick Hwan Yang, Min Seok Ko, Eshnazarov Kamolhuja, Kwan Kyu Park, Ko, Min Seok, Ko, Jae Han, Park, Kwan Kyu, Yang, Ick Hwan
Zdroj:	International Wound Journal. 14:250-254
Informácie o vydavateľovi:	Wiley, 2016.
Rok vydania:	2016
Predmety:	Male, Wound Healing/physiology, Replacement, Surgical Instruments, Pain, Arthroplasty, Cicatrix, 03 medical and health sciences, 0302 clinical medicine, Scar, 80 and over, Humans, Arthroplasty, Replacement, Knee, 10. No inequality, Wound Closure Techniques/instrumentation, Aged, Aged, 80 and over, Pain, Postoperative, Wound Healing, Wound Closure Techniques, Postoperative/physiopathology, Knee/methods, Cicatrix/physiopathology, Middle Aged, Treatment Outcome, Total knee arthroplasty, Female, Zip, Surgical site infection
Popis:	This study compared the pain score, cosmetic outcome and wound complication rate between zip‐type skin‐closing device and conventional staple device. Forty‐five subjects with zip‐type skin‐closing device (the zip group) and 45 subjects with the conventional staple device (the staple group) after total knee arthroplasty were compared. Visual analogue scale score was significantly higher on postoperative (PO) 1, 3, 14 day (D) in the staple group compared to the zip group (P < 0·05). The Vancouver scar score was significantly better in the zip group compared to that of the staple group (4·6 ± 0·7 versus 6·9 ± 1·3, P = 0·043) on PO 90D. There was no significant wound complication rate between the two groups. The zip‐type skin‐closing device showed less pain PO 14D, especially during dressing and removal of the device, and better cosmetic outcome 3 months after surgeries. Surgeons may consider using the zip‐type skin‐closing device for patients who want less pain and better cosmetic outcome.
Druh dokumentu:	Article
Jazyk:	English
ISSN:	1742-481X 1742-4801
DOI:	10.1111/iwj.12596
Prístupová URL adresa:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7949581 https://pubmed.ncbi.nlm.nih.gov/27019972 https://pubmed.ncbi.nlm.nih.gov/27019972/ https://www.ncbi.nlm.nih.gov/pubmed/27019972 https://www.onlinelibrary.wiley.com/doi/pdf/10.1111/iwj.12596 https://ir.ymlib.yonsei.ac.kr/handle/22282913/154152 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7949581 http://europepmc.org/abstract/MED/27019972
Rights:	Wiley Online Library User Agreement CC BY NC ND
Prístupové číslo:	edsair.doi.dedup.....9310187e5e85b75d7336b6e6ce65dc30
Databáza:	OpenAIRE

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Abstrakt:	This study compared the pain score, cosmetic outcome and wound complication rate between zip‐type skin‐closing device and conventional staple device. Forty‐five subjects with zip‐type skin‐closing device (the zip group) and 45 subjects with the conventional staple device (the staple group) after total knee arthroplasty were compared. Visual analogue scale score was significantly higher on postoperative (PO) 1, 3, 14 day (D) in the staple group compared to the zip group (P < 0·05). The Vancouver scar score was significantly better in the zip group compared to that of the staple group (4·6 ± 0·7 versus 6·9 ± 1·3, P = 0·043) on PO 90D. There was no significant wound complication rate between the two groups. The zip‐type skin‐closing device showed less pain PO 14D, especially during dressing and removal of the device, and better cosmetic outcome 3 months after surgeries. Surgeons may consider using the zip‐type skin‐closing device for patients who want less pain and better cosmetic outcome.
ISSN:	1742481X 17424801
DOI:	10.1111/iwj.12596