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

Authors
 Jae Han Ko  ;  Ick Hwan Yang  ;  Min Seok Ko  ;  Eshnazarov Kamolhuja  ;  Kwan Kyu Park 
Citation
 INTERNATIONAL WOUND JOURNAL, Vol.14(1) : 250-254, 2017 
Journal Title
 INTERNATIONAL WOUND JOURNAL 
ISSN
 1742-4801 
Issue Date
2017
MeSH
Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Knee/methods* ; Cicatrix/physiopathology* ; Female ; Humans ; Male ; Middle Aged ; Pain, Postoperative/physiopathology* ; Surgical Instruments* ; Treatment Outcome ; Wound Closure Techniques/instrumentation* ; Wound Healing/physiology*
Keywords
Pain ; Scar ; Surgical site infection ; Total knee arthroplasty ; Zip
Abstract
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.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/iwj.12596/abstract
DOI
10.1111/iwj.12596
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Ko, Min Seok(고민석)
Ko, Jae Han(고재한)
Park, Kwan Kyu(박관규) ORCID logo https://orcid.org/0000-0003-0514-3257
Yang, Ick Hwan(양익환)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154152
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