Surgical knots are simply a necessary evil needed to anchor smooth suture to allow it to
function in its role in tissue reapproximation. Surgical knots reduce the tensile strength of all …

Sutures are an increasing focus of research in knee arthroplasty (KA). Whether knotless
barbed sutures (KBS) are safe and efficient in KA remains controversial. The objective of our …

We performed a prospective, randomized clinical trial to evaluate the efficacy of using a
bidirectional barbed suture compared with traditional sutures in the deep closure of primary …

Background Wound closure is key to prevent infection, facilitate immediate rehabilitation,
and improve efficiency of total knee arthroplasty (TKA). Continuous knotless suturing with …

Background Previous studies have found fewer clinical infections in wounds closed with
monofilament suture compared with braided suture. Recently, barbed monofilament sutures …

Background Effective wound closure is critical to minimizing wound complications and
withstanding the forces associated with early knee motion after TKA. Barbed sutures allow …

Barbed suture has been associated with improved closure efficiency and safety in TKA in
prior studies. We performed a multicenter randomized controlled trial to determine the …

Background The use of barbed suture for surgical closure has been associated with lower
operative times, equivalent wound complication rate, and comparable cosmesis scores in …

Introduction Newer methods of wound closure such as bidirectional barbed sutures hold the
potential to reduce closure time and thus overall operating room costs during total joint …

Background This literature review is aimed at identifying the different methods for superficial
and deep wound closure in total knee arthroplasty and evaluating their outcomes. We …