Wound Closure Materials and Techniques in Hip and Knee Arthroplasty

Summary

This prospective randomized clinical study aims to evaluate the effects of different suture materials and wound closure techniques on wound healing, functional outcomes, and postoperative complications in patients undergoing total hip and knee arthroplasty. A total of at least 90 adult patients undergoing primary or aseptic revision lower extremity arthroplasty will be randomized into two groups according to the wound closure material and technique used. All surgeries will be performed by the same surgical team following standardized operative protocols. Primary outcomes include wound-related complications such as prolonged wound drainage, wound dehiscence, surgical site infection, and local inflammatory findings within 90 days postoperatively. Secondary outcomes include operative time, bleeding amount, cosmetic outcomes, and functional scores. The results of this study are expected to help determine the most effective and safe wound closure method in lower extremity arthroplasty.

Eligibility

Inclusion Criteria:

* Age ≥ 30 years
* Patients undergoing primary total hip arthroplasty or total knee arthroplasty
* Patients undergoing aseptic revision total hip or knee arthroplasty
* Surgery performed by the same surgical team
* Ability to provide informed consent

Exclusion Criteria:

* Age \< 30 years
* Patients receiving immunosuppressive therapy
* Patients with complicated diabetes mellitus
* Chronic venous insufficiency
* Peripheral arterial disease
* Arthroplasty performed due to malignancy
* Active or previous surgical site infection

Conditions3

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