Suture reaction following skin closure with subcuticular polydioxanone in total knee arthroplasty.
A retrospective study revealed a 20% incidence of suture reaction following closure of wounds with subcuticular polydioxanone after total knee arthroplasty. In a control group whose wounds were closed with subcuticular polyglycolic acid (Dexon, Davis & Geck, Wayne, NJ), no suture reactions occurred (P = .0012, Fisher's exact test). It is concluded that subcuticular polydioxanone should not be used for skin closure after total knee arthroplasty.
Casha
J N
JN
Department of Orthopaedics, Perth Royal Infirmary, United Kingdom.
Hadden
W A
WA
D000038:Abscess / Q000209:etiology*; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D006801:Humans; D007720:Knee Prosthesis; D008875:Middle Aged; D016687:Polydioxanone / Q000009:adverse effects*; D011100:Polyglycolic Acid / Q000009:adverse effects; D012189:Retrospective Studies; D012871:Skin Diseases / Q000209:etiology*; D013537:Sutures / Q000009:adverse effects*
D000900:Anti-Bacterial Agents; D011100:Polyglycolic Acid; D016687:Polydioxanone