COMPARISON OF HISTOACRYL TOPICAL SKIN ADHESIVE AND TRADITIONAL METHOD FOR WOUND CLOSURE IN TOTAL HIP ARTHROPLASTY_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

KONGXiangpeng ,  WANGYan , CHAIWei ^△ , NIMing , LIXiang

Department of Orthopedics, General Hospital of Chinese PLA, Beijing, 100853, P. R. China;

Corresponding author：

WANGYan, Email: yanwang301@163.com

Keywords：

Histoacryl topical skin adhesive; Total hip arthroplasty; Incision; Complication

DOI：

10.7507/1002-1892.20160304

Video：

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Objective To compare the effectiveness between histoacryl topical skin adhesive and traditional method for wound closure in total hip arthroplasty (THA). Methods A total of 159 patients undergoing THA were divided into 2 groups between January and October in 2015. Subcuticular suture and histoacryl topical skin adhesive (cyanoacrylate adhesive) were used in 80 patients (100 hips) (test group), and traditional method (skin staples and wound drainage) was used in 79 patients (100 hips) (control group) for wound closure. There was no significant difference (P > 0.05) in gender, age, body mass index, and etiology between 2 groups. The operation time, length of stay, incision pain visual analogue scale (VAS) score and healing of incision, and incision satisfaction evaluation, and classification were compared between 2 groups. Results All patients were followed up 3-6 months (mean. 4.7 months). There was no significant difference in operation time between 2 groups (Z=-0.527, P=0.598); but the length of stay of test group was less than that of control group (Z=-2.004, P=0.045). Incision exudation and dehiscence occurred in 1 case (1 hip) and 1 case (1 hip) of test group respectively; incision swollen, persistent wound exudation, exudation, and sutured drainage tube occurred in 2 cases (2 hips), 2 cases (2 hips), 4 cases (4 hips), and 1 case (1 hip) of control group. No statistically significant difference was found in VAS score between 2 groups at 15 days after operation (Z=-0.125, P=0.901), but wound healing score of test group was significantly higher than that of control group (Z=-2.943, P=0.003). Wound healing was class A in 98 hips and class B in 2 hips in test group, and was class A in 92 hips and class B in 8 hips in control group, and difference was statistically significant (χ²=3.789, P=0.048). The incision satisfaction of test group was significantly higher than that of control group (Z=-2.626, P=0.009). Conclusion Compared with traditional method, histoacryl topical skin adhesive has decreased wound complication rate, and it is an easy and safe method with high satisfaction.

Citation： KONGXiangpeng, WANGYan, CHAIWei, NIMing, LIXiang. COMPARISON OF HISTOACRYL TOPICAL SKIN ADHESIVE AND TRADITIONAL METHOD FOR WOUND CLOSURE IN TOTAL HIP ARTHROPLASTY. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(12): 1467-1471. doi: 10.7507/1002-1892.20160304 Copy

1.	Triantafyllopoulos G, Stundner O, Memtsoudis S, et al. Patient, Surgery and Hospital Related Risk Factors for Surgical Site Infections Following Total Hip Arthroplasy. Scientific World Journal, 2015, 2015:979560.
2.	Urquhart DM, Hanna FS, Brennan SL, et al. Incidence and risk factors for deep surgical site infection after primary total hip arthroplasty:a systematic review. J Arthroplasty, 2010, 25(8):1216-1222.e1-3.
3.	Pugely AJ, Martin CT, Gao Y, et al. The incidence of and risk factors for 30-Day surgical site infections following primary and revision total joint arthroplasty. J Arthroplasty, 2015, 30(9 Suppl):47-50.
4.	Sadoghi P, Liebensteiner M, Agreiter M, et al. Revision surgery after total joint arthroplasty:a complication-based analysis using worldwide arthroplasty registers. J Arthroplasty, 2013, 28(8):1329-1332.
5.	Lorenzetti AJ, Wongworawat MD, Jobe CM, et al. Cyanoacrylate microbial sealant may reduce the prevalence of positive cultures inrevision shoulder arthroplasty. Clin Orthop Relat Res, 2013, 471(10):3225-3229.
6.	胡友珍, 白祥军, 张冬林.组织胶水粘合技术闭合皮肤伤口后并发症的护理.解放军护理杂志, 2011, 28(8):53-54.
7.	李强, 黄婉琳, 房洁渝.组织胶水与可吸收缝线在手术伤口愈合的应用比较.中华临床医师杂志(电子版), 2011, 5(17):5205-5206.
8.	Heuer F, Ulrich S, Claes L, et al. Biomechanical evaluation of conventional anulus fibrosus closure methods required for nucleus replacement. J Neurosurg Spine, 2008, 9(3):307-313.
9.	Miller AG, Swank ML. Dermabond efficacy in total joint arthroplasty wounds. Am J Orthop (Belle Mead NJ), 2010, 39(10):476-478.
10.	Imbuldeniya AM, Rashid A, Murphy JP. A comparison of 2-octyl cyanoacrylate with nylon for wound closure of knee arthroscopy portals. J Wound Care, 2014, 23(9):456-460.
11.	El-Gazzar Y, Smith DC, Sun JK, et al. The use of dermabond^® as an adjunct to wound closure after total knee arthroplasty:examining immediate post-operative wound drainage. J Arthroplasty, 2013, 28(4):553-556.
12.	Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg, 2008, 248(2):189-198.
13.	Larsen K, Hansen TB, Søballe K. Patient-reported outcome after fast-track hip arthroplasty:a prospective cohort study. Health Qual Life Outcomes, 2010, 8:144.
14.	Uhrbrand P, Ulrich M, Søballe K. Quality of life and hip function during the first month after total hip arthroplasty. Current Orthopaedic Practice, 2014, 25(3):233-237.
15.	O'Malley NT, Fleming FJ, Gunzler DD, et al. Factors independently associated with complications and length of stay after hip arthroplasty:analysis of the National Surgical Quality Improvement Program. J Arthroplasty, 2012, 27(10):1832-1837.
16.	Chen ZY, Gao Y, Chen W, et al. Is wound drainage necessary in hip arthroplasty? A meta-analysis of randomized controlled trials. Eur J Orthop Surg Traumatol, 2014, 24(6):939-946.
17.	Sarzaeem MM, Razi M, Kazemian G, et al. Comparing efficacy of three methods of tranexamic acid administration in reducing hemoglobin drop following total knee arthroplasty. J Arthroplasty, 2014, 29(8):1521-1524.
18.	Melvin JS, Stryker LS, Sierra RJ, et al. Tranexamic acid in hip and knee arthroplasty. J Am Acad Orthop Surg, 2015, 23(12):732-740.
19.	Khan RJ, Fick D, Yao F, et al. A comparison of three methods of wound closure following arthroplasty:a prospective, randomized, controlled trial. J Bone Joint Surg (Br), 2006, 88(2):238-242.
20.	Ando M, Tamaki T, Yoshida M, et al. Surgical site infection in spinal surgery:a comparative study between 2-octyl-cyanoacrylate and staples for wound closure. Eur Spine J, 2014, 23(4):854-862.
21.	Hivnor CM, Hudkins ML. Allergic contact dermatitis after post surgical repair with 2-octylcyanoacrylate. American Contact Dermatitis Society, 2008, 144(6):814-815.
22.	El-Dars LD, Chaudhury W, Hughes TM, et al. Allergic contact dermatitis to Dermabond after orthopaedic joint replacement. Contact Dermatitis, 2010, 62(5):315-317.
23.	Zhu H, Yang XJ, Li XL, et al. Non-suture technique for rabbit oviduct anastomosis with 2-octyl cyanoacrylate:a histopathologic and biomechanical analysis. J Obstet Gynaecol Res, 2013, 39(3):685-691.

1. Triantafyllopoulos G, Stundner O, Memtsoudis S, et al. Patient, Surgery and Hospital Related Risk Factors for Surgical Site Infections Following Total Hip Arthroplasy. Scientific World Journal, 2015, 2015:979560.
2. Urquhart DM, Hanna FS, Brennan SL, et al. Incidence and risk factors for deep surgical site infection after primary total hip arthroplasty:a systematic review. J Arthroplasty, 2010, 25(8):1216-1222.e1-3.
3. Pugely AJ, Martin CT, Gao Y, et al. The incidence of and risk factors for 30-Day surgical site infections following primary and revision total joint arthroplasty. J Arthroplasty, 2015, 30(9 Suppl):47-50.
4. Sadoghi P, Liebensteiner M, Agreiter M, et al. Revision surgery after total joint arthroplasty:a complication-based analysis using worldwide arthroplasty registers. J Arthroplasty, 2013, 28(8):1329-1332.
5. Lorenzetti AJ, Wongworawat MD, Jobe CM, et al. Cyanoacrylate microbial sealant may reduce the prevalence of positive cultures inrevision shoulder arthroplasty. Clin Orthop Relat Res, 2013, 471(10):3225-3229.
6. 胡友珍, 白祥军, 张冬林.组织胶水粘合技术闭合皮肤伤口后并发症的护理.解放军护理杂志, 2011, 28(8):53-54.
7. 李强, 黄婉琳, 房洁渝.组织胶水与可吸收缝线在手术伤口愈合的应用比较.中华临床医师杂志(电子版), 2011, 5(17):5205-5206.
8. Heuer F, Ulrich S, Claes L, et al. Biomechanical evaluation of conventional anulus fibrosus closure methods required for nucleus replacement. J Neurosurg Spine, 2008, 9(3):307-313.
9. Miller AG, Swank ML. Dermabond efficacy in total joint arthroplasty wounds. Am J Orthop (Belle Mead NJ), 2010, 39(10):476-478.
10. Imbuldeniya AM, Rashid A, Murphy JP. A comparison of 2-octyl cyanoacrylate with nylon for wound closure of knee arthroscopy portals. J Wound Care, 2014, 23(9):456-460.
11. El-Gazzar Y, Smith DC, Sun JK, et al. The use of dermabond^® as an adjunct to wound closure after total knee arthroplasty:examining immediate post-operative wound drainage. J Arthroplasty, 2013, 28(4):553-556.
12. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg, 2008, 248(2):189-198.
13. Larsen K, Hansen TB, Søballe K. Patient-reported outcome after fast-track hip arthroplasty:a prospective cohort study. Health Qual Life Outcomes, 2010, 8:144.
14. Uhrbrand P, Ulrich M, Søballe K. Quality of life and hip function during the first month after total hip arthroplasty. Current Orthopaedic Practice, 2014, 25(3):233-237.
15. O'Malley NT, Fleming FJ, Gunzler DD, et al. Factors independently associated with complications and length of stay after hip arthroplasty:analysis of the National Surgical Quality Improvement Program. J Arthroplasty, 2012, 27(10):1832-1837.
16. Chen ZY, Gao Y, Chen W, et al. Is wound drainage necessary in hip arthroplasty? A meta-analysis of randomized controlled trials. Eur J Orthop Surg Traumatol, 2014, 24(6):939-946.
17. Sarzaeem MM, Razi M, Kazemian G, et al. Comparing efficacy of three methods of tranexamic acid administration in reducing hemoglobin drop following total knee arthroplasty. J Arthroplasty, 2014, 29(8):1521-1524.
18. Melvin JS, Stryker LS, Sierra RJ, et al. Tranexamic acid in hip and knee arthroplasty. J Am Acad Orthop Surg, 2015, 23(12):732-740.
19. Khan RJ, Fick D, Yao F, et al. A comparison of three methods of wound closure following arthroplasty:a prospective, randomized, controlled trial. J Bone Joint Surg (Br), 2006, 88(2):238-242.
20. Ando M, Tamaki T, Yoshida M, et al. Surgical site infection in spinal surgery:a comparative study between 2-octyl-cyanoacrylate and staples for wound closure. Eur Spine J, 2014, 23(4):854-862.
21. Hivnor CM, Hudkins ML. Allergic contact dermatitis after post surgical repair with 2-octylcyanoacrylate. American Contact Dermatitis Society, 2008, 144(6):814-815.
22. El-Dars LD, Chaudhury W, Hughes TM, et al. Allergic contact dermatitis to Dermabond after orthopaedic joint replacement. Contact Dermatitis, 2010, 62(5):315-317.
23. Zhu H, Yang XJ, Li XL, et al. Non-suture technique for rabbit oviduct anastomosis with 2-octyl cyanoacrylate:a histopathologic and biomechanical analysis. J Obstet Gynaecol Res, 2013, 39(3):685-691.

Chinese Journal of Reparative and Reconstructive Surgery

COMPARISON OF HISTOACRYL TOPICAL SKIN ADHESIVE AND TRADITIONAL METHOD FOR WOUND CLOSURE IN TOTAL HIP ARTHROPLASTY

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