Surgical staples and skin closure tape in primary total knee
arthroplasty: a systematic review and meta-analysis

doi:10.3969/j.issn.2095-4344.2427

Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (6): 956-961.doi: 10.3969/j.issn.2095-4344.2427

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Surgical staples and skin closure tape in primary total knee arthroplasty: a systematic review and meta-analysis

He Zongru¹, Zhang Wenhui^{1, 2}, Cheng Mingxia¹, Yang Yuping^{1, 2}, Yan Peijing³, Liu Jie¹, Yang Kehu^{3, 4, 5, 6}, Qian Yaowen¹

¹Gansu Provincial Hospital; ²Ningxia Medical University; ³Institute of Clinical Evidence-based Medicine, Gansu Provincial Hospital; ⁴Evidence-based Medicine Center, School of Basic Medical Sciences of Lanzhou University; ⁵Center for Evidence-based Society Research, Lanzhou University;⁶Gansu Key Laboratory of Evidence-based Medicine and Clinical Transformation, Lanzhou University

Received:2019-06-03 Revised:2019-06-11 Accepted:2019-07-23 Online:2020-02-28 Published:2020-01-18
Contact: Qian Yaowen, Chief physician, Master’s supervisor, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China Yang Kehu, Professor, Doctoral supervisor, Institute of Clinical Evidence-based Medicine, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China; Evidence-based Medicine Center, School of Basic Medical Sciences of Lanzhou University, Lanzhou 730000, Gansu Province, China; Center for Evidence-based Society Research, Lanzhou University, Lanzhou 730000, Gansu Province, China; Gansu Key Laboratory of Evidence-based Medicine and Clinical Transformation, Lanzhou University, Lanzhou 730000, Gansu Province, China
About author:He Zongru, Master, Attending physician, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China Zhang Wenhui, Master candidate, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China; Ningxia Medical University, Yinchuan 750000, Ningxia Hui Autonomous Region, China He Zongru and Zhang Wenhui contributed equally to this study.
Supported by:
the Special Fund for Fundamental Scientific Research Business Expenses of Universities of Higher Learning under the Central Department of China, No. 16ZUJBWTD013, No. 18LZUJBWZX006; the Open Fund of the Key Laboratory of Evidence-based Medicine and Clinical Transformation in Gansu Province, No. GSXZYZH2018006

Abstract

Abstract:

BACKGROUND: Skin closure with surgical staplers has been widely used in total knee arthroplasty. In recent years, a new kind of skin closure tape has also achieved good results in total knee arthroplasty. There is no clear report on which method of skin closure is better.

OBJECTIVE: To statistically analyzed the effect of two skin closure techniques in total knee arthroplasty.

METHODS: The two researchers independently searched the relevant literature in PubMed, Cochrane library, EMBASE, Chinese Biomedicine Database, China National Knowledge Infrastructure, Wanfang Data and the VIP Chinese Sci-tech Journal Database. The retrieval time was from inception to April 2019. The literature was screened and finally included in the study.

RESULTS AND CONCLUSION: A total of four studies were included, both of which were the literature in English. (1) In terms of the primary index, the re-admission rate of skin closure tape (RR=0.68, 95%CI:0.49-0.95, P=0.03) could be reduced compared with the staple. However, there was no significant difference in the incidence of complications between the two (RR=0.85, 95%CI:0.27-2.64, P=0.77). (2) In the aspect of secondary indexes, skin closure tape could relieve pain, save time and cost, and have good cosmetic effect though there was no significant difference in the removal time of closed materials between the two. (3) Results indicated that according to the existing literature, compared with surgical staples, skin closure tape is a less painful skin closure method with fewer complications in total knee arthroplasty. Because of the limited sample size, more studies and longer follow-up time are needed to confirm this conclusion.

Key words: total knee arthroplasty, complications, meta-analysis, staple, skin closure tape

CLC Number:

He Zongru, Zhang Wenhui, Cheng Mingxia, Yang Yuping, Yan Peijing, Liu Jie, Yang Kehu, Qian Yaowen. Surgical staples and skin closure tape in primary total knee arthroplasty: a systematic review and meta-analysis[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(6): 956-961.

Figures/Tables 5

References

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Surgical staples and skin closure tape in primary total knee arthroplasty: a systematic review and meta-analysis

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