Skin Closure Tape and Surgical Staples in Primary Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.


Journal

BioMed research international
ISSN: 2314-6141
Titre abrégé: Biomed Res Int
Pays: United States
ID NLM: 101600173

Informations de publication

Date de publication:
2020
Historique:
received: 27 03 2019
revised: 15 07 2019
accepted: 22 11 2019
entrez: 19 5 2020
pubmed: 19 5 2020
medline: 19 3 2021
Statut: epublish

Résumé

Staples closure technology has been widely used in total knee arthroplasty (TKA) and achieved good results. In recent years, a new type of material called skin closure tape (SCT) has been applied to TKA which also showed good treatment results. However, since it is still not clear yet which one is better, this paper collects literatures for statistical analysis so as to provide evidence for the use of SCT in TKA. The comparative study on effects between SCT and staples is reviewed after the primary release of TKA in PubMed, the Cochrane library, and the EMBASE database up to March 2019. The two researchers independently screened the literature and evaluated the quality of the literature using bias risk tools. A total of four studies (3330 knees) have been included in our meta-analysis. For the main point, the results show that the SCT can reduce readmission rates compared to staples (RR 0.68, 95% CI 0.49-0.95, Our study indicates SCT as a closure method with fewer complications and faster speed compared with staples. Nevertheless, the cost and pain need to be further confirmed because of the small sample size included in this study.

Sections du résumé

BACKGROUND BACKGROUND
Staples closure technology has been widely used in total knee arthroplasty (TKA) and achieved good results. In recent years, a new type of material called skin closure tape (SCT) has been applied to TKA which also showed good treatment results. However, since it is still not clear yet which one is better, this paper collects literatures for statistical analysis so as to provide evidence for the use of SCT in TKA.
METHODS METHODS
The comparative study on effects between SCT and staples is reviewed after the primary release of TKA in PubMed, the Cochrane library, and the EMBASE database up to March 2019. The two researchers independently screened the literature and evaluated the quality of the literature using bias risk tools.
RESULTS RESULTS
A total of four studies (3330 knees) have been included in our meta-analysis. For the main point, the results show that the SCT can reduce readmission rates compared to staples (RR 0.68, 95% CI 0.49-0.95,
CONCLUSIONS CONCLUSIONS
Our study indicates SCT as a closure method with fewer complications and faster speed compared with staples. Nevertheless, the cost and pain need to be further confirmed because of the small sample size included in this study.

Identifiants

pubmed: 32420346
doi: 10.1155/2020/4827617
pmc: PMC7199617
doi:

Types de publication

Journal Article Meta-Analysis Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

4827617

Informations de copyright

Copyright © 2020 Xiangli Luo et al.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to declare.

Références

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Auteurs

Xiangli Luo (X)

Department of Orthopedics, Gansu Provincial Hospital, Donggang West Road, Lanzhou 730000, Gansu, China.

Wenhui Zhang (W)

Department of Orthopedics, Gansu Provincial Hospital, Donggang West Road, Lanzhou 730000, Gansu, China.
School of Clinical Medical Sciences, Ningxia Medical University, Shengli Street, Yinchuan 750000, China.

Peijing Yan (P)

Institute of Clinical Research and Evidence Based Medicine, Gansu Provincial Hospital, Lanzhou 730000, China.

Zongru He (Z)

Department of Orthopedics, Gansu Provincial Hospital, Donggang West Road, Lanzhou 730000, Gansu, China.

Yuping Yang (Y)

Department of Orthopedics, Gansu Provincial Hospital, Donggang West Road, Lanzhou 730000, Gansu, China.
School of Clinical Medical Sciences, Ningxia Medical University, Shengli Street, Yinchuan 750000, China.

Kehu Yang (K)

Institute of Clinical Research and Evidence Based Medicine, Gansu Provincial Hospital, Lanzhou 730000, China.
Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.
Evidence Based Social Science Research Center, Lanzhou University, Lanzhou 730000, China.
Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, China.

Yaowen Qian (Y)

Department of Orthopedics, Gansu Provincial Hospital, Donggang West Road, Lanzhou 730000, Gansu, China.
School of Clinical Medical Sciences, Ningxia Medical University, Shengli Street, Yinchuan 750000, China.

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