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The Examination of the Benefits of the Usage of Locked, Knotted Suture in Capsule Repair During Total Knee Arthroplasty: A Prospective Randomized Study   
Yazarlar
Mehmet Fevzi Cakmak
Dr. Öğr. Üyesi Levent HOROZ Dr. Öğr. Üyesi Levent HOROZ
Kırşehir Ahi Evran Üniversitesi, Türkiye
Özet
IntroductionIn today's world, high-cost procedures are being examined, and alternative procedures are being developed. In this context, one frequently examined procedure is total knee replacement.PurposeThis study aims to examine the three different closure techniques used in total knee replacement.MethodsThis study is a prospective randomized controlled study. Two hundred participants who underwent total knee replacement surgery, were included in the study. Participants were randomly divided into three groups. Arthrotomy was performed using a medial parapatellar approach with a midline incision. Standard femoral and tibial cuts were followed by the implantation of a Smith and Nephew genesis II implant for all participants. Complications, joint range of motion, pain scores, certain movement degrees, and functional scores were investigated.ResultsPre-op and post-op range of motion, knee society score, oxford knee score, certain movement degree values have shown no significant difference. Visual analogue scale values were different significantly between the groups. There is a statistical difference between the range of motion, knee society score, oxford knee score, certain movement degree and visual analogue scale values in repeated measurements. The most common complication was a hematoma. This was observed most frequently in the continuous vicryl suture group. The closure time in the Barbed group was significantly lower than in the other groups.DiscussionTreatment for total knee replacement is a heavy economic burden. Health systems and hospitals are under pressure. The results obtained in our study show that there is no superiority of one closure technique over the other.
Anahtar Kelimeler
Total knee replacement | Closure techniques | Barbed knotless sutures | Continuous vicryl suture | Arthrotomy | Pain Scores | Functional Scores
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı INDIAN JOURNAL OF ORTHOPAEDICS
Dergi ISSN 0019-5413
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 11-2023
Cilt No 57
Sayı 11
Sayfalar 1881 / 1890
Doi Numarası 10.1007/s43465-023-00976-6