ICJR Interviews: Role of Suture Material in Rapid Recovery

    Changes in protocols– such as use of multimodal pain management, quicker mobilization, and minimally invasive surgical techniques – have contributed to shorter lengths of stay following joint replacement surgery.

    Alexander P. Sah, MD, from the Institute for Joint Replacement in Fremont, California, recently looked at another possible contributor to early ambulation and quicker discharge: the use of running barbed, knotless sutures instead of standard monofilament sutures.

    In a consecutive series of more than 300 patients, Dr. Sah found a number of benefits of the barbed, knotless sutures over the standard sutures:

    • Better watertight closure
    • Less suture breakage
    • Fewer wound complications
    • Less time to close the wound

    He concluded that running barbed, knotless sutures allow for early ambulation with fewer wound complications, which can contribute to quicker discharge, including the same day as surgery.

    Click the image above to hear Dr. Sah discuss his study, “Prospective, Randomized Evaluation of the Quality of Wound Closure with Barbed Versus Standard Suture after TJA” (Poster 130), which was presented at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando.

    Producer: Susan Doan-Johnson; Director: Michael Bugera; Post Production: Charles J. Maynard