A novel skin closure device accelerates early cosmesis in orthopaedic surgical incisions: a randomised controlled trial.

IF 1.7 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2025-07-01 DOI:10.12968/jowc.2023.0228

Landon P Frazier, Christopher M Brusalis, Katie J McMorrow, Ryan Quigley, Joshua T Kaiser, Zachary D Meeker, Allen A Yazdi, Alexander C Weissman, Krish S Sardesai, Brian J Cole

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引用次数: 0

Abstract

Objective: Cosmesis of surgical incisions can greatly impact postoperative patient satisfaction. This study aimed to compare the rate and overall cosmetic improvement of orthopaedic surgical incisions between conventional suture closure and a novel skin closure device.

Method: In this single-blind, randomised, prospective controlled trial, a consecutive series of patients undergoing orthopaedic sports medicine procedures of the knee, shoulder and elbow were randomised to undergo wound closure via either conventional suture or a micro-anchor skin closure device (BandGrip; BandGrip, US). Wounds were stratified by incision length (small ≤2cm and large >2cm). Wound cosmesis was evaluated by two blinded observers' ratings according to the Hollander Wound Evaluation Scale (HWES) at two weeks, two months and one year postoperatively. For both small and large incisions, mean HWES was compared between groups at each timepoint.

Results: A total of 149 incisions were evaluated from 83 patients, including 111 incisions ≤2cm and 38 incisions >2cm. Among incisions ≤2cm, HWES ratings were significantly improved at two weeks and two months postoperatively for incisions closed with a micro-anchor skin closure device, whereas no significant differences between treatment groups were detected at one year postoperatively. Among incisions measuring >2cm (mean incision length = 7.74cm), mean HWES ratings were improved using the micro-anchor adhesive device at two months postoperatively, while HWES ratings were comparable at one year postoperatively.

Conclusion: A novel micro-anchor skin closure device achieves comparable cosmetic outcomes to conventional suture and may reach satisfactory cosmesis more rapidly following orthopaedic sports medicine surgery.

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一种新型皮肤闭合装置加速骨科手术切口的早期美容：一项随机对照试验。

目的：手术切口的美观程度对术后患者满意度有很大影响。本研究旨在比较传统缝合缝合和一种新型皮肤缝合装置对骨科手术切口的愈合率和整体美容效果的改善。方法：在这项单盲、随机、前瞻性对照试验中，连续一系列接受膝关节、肩部和肘部骨科运动医学手术的患者被随机分组，通过传统缝合或微锚定皮肤闭合装置(BandGrip；BandGrip,美国)。按切口长度分层（小切口≤2cm，大切口≤2cm）。术后2周、2个月和1年，根据霍兰德伤口评估量表（hes），采用2名盲法观察者对创面进行评分。对于小切口和大切口，比较各组在每个时间点的平均hes。结果：83例患者共评估149个切口，其中≤2cm的切口111个，bb0 2cm的切口38个。在≤2cm的切口中，使用微锚定皮肤闭合装置闭合的切口在术后2周和2个月时hes评分显著提高，而在术后1年，两组间无显著差异。在尺寸为bbbb2cm（平均切口长度= 7.74cm）的切口中，术后2个月使用微锚定粘接剂后hes评分平均提高，术后1年hes评分相当。结论：一种新型的微锚定皮肤闭合装置与传统缝合装置相比，具有相当的美容效果，可以更快地在骨科运动医学手术后达到满意的美容效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.