Dermabond efficacy in total joint arthroplasty wounds.

Abstract

The goals of wound closure are a low infection rate and timely healing. Total joint arthroplasty (TJA) requires mobile recovery, and, therefore, a high-tension wound care environment. We conducted a study to compare the efficacy of high-viscosity Dermabond (Ethicon, Somerville, New Jersey) and the efficacy of surgical staples in healing high-tension, mobile surgical sites of TJA. Of 236 total knee arthroplasties and 223 total hip arthroplasties (459 surgeries total), 250 were performed with Dermabond and 209 with staples. According to χ2 analysis, case and control infection rates were equivalent. Signs of acute inflammation (redness, drainage, dehiscence) also were statistically equivalent. Absence of staples accounted for a significant decrease in tape blisters and skin abscesses. Dermabond is superior to staples in high-tension wound care.

• Authors: Adam G Miller, Michael L Swank
• Journal: American journal of orthopedics (Belle Mead, N.J.) (Am J Orthop (Belle Mead NJ)) Vol. 39 Issue 10 Pg. 476-8 (Oct 2010) ISSN: 1934-3418 [Electronic] United States
• PMID: 21290007 (Publication Type: Comparative Study, Journal Article)

Chemical References

• Cyanoacrylates
• Tissue Adhesives
• octyl 2-cyanoacrylate

Topics

• Aged
• Arthroplasty, Replacement, Hip (adverse effects, methods)
• Arthroplasty, Replacement, Knee (adverse effects, methods)
• Cyanoacrylates (administration & dosage)
• Female
• Humans
• Male
• Middle Aged
• Patient Satisfaction
• Surgical Wound Infection (prevention & control)
• Sutures
• Tissue Adhesives (administration & dosage)
• Treatment Outcome
• Wound Healing (drug effects)