ArticleJournal of clinical orthopaedics and trauma
Concealed cosmetic closure in total knee replacement surgery - A prospective audit assessing appearance and patient satisfaction.
Article in Journal of clinical orthopaedics and trauma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06373900 (Wound Closure After Total Knee Arthroplasty), which is not on this map. Cited by 12 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Wound Closure After Total Knee Arthroplasty: Comparison of Polypropylene and Polyglactin 910 Suture. A Randomised Controlled Trial.
Who cites it
12 citing papers in PubMed, 16 citations in OpenAlex.
- A Prospective, Randomized, Controlled Comparison of Adhesive Wound Closure Devices in an Orthopaedic Patient.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Trial
- Factors contributing to 1-year dissatisfaction after total knee arthroplasty: a nomogram prediction model.Journal of orthopaedic surgery and research · 2022Trial
- Tissue adhesive for wound closure in enhanced-recovery total hip arthroplasty: a prospective, randomized and controlled study.BMC musculoskeletal disorders · 2020Trial
- A Prospective, Randomized and Controlled Study on Tissue Adhesive for Skin Incision in Total Knee Arthroplasty.Therapeutics and clinical risk management · 2020Trial
- Patient Preferences for Tracker Pin-Related Incision Configurations in Robotic-Assisted Total Knee Arthroplasty.Arthroplasty today · 2026Article
- Wound closure after total knee arthroplasty: Comparison of polypropylene and polyglactin 910 suture-a randomized controlled trial.Pakistan journal of medical sciences · 2026Article
- Barbed Sutures for Total Hip and Knee Arthroplasty Have Shorter Wound Closure Time and are Cost-Effective in Comparison to Traditional Sutures: A Systematic Review and Meta-analysis of 16 Randomized Controlled Trials.Indian journal of orthopaedics · 2022Article
- Multilayer Watertight Closure to Address Adverse Events From Primary Total Knee and Hip Arthroplasty: A Systematic Review of Wound Closure Methods by Tissue Layer.Arthroplasty today · 2021Article
- Patient Satisfaction Following Primary Total Knee Arthroplasty: Contributing Factors.The archives of bone and joint surgery · 2021Review
- Is obesity a contraindication for simultaneous bilateral total knee arthroplasty? A prospective case-control study.SICOT-J · 2020Article
- Is obesity A contra-indication for a successful total knee arthroplasty?Journal of clinical orthopaedics and traumaArticle
- Advantages of clamping and drainage over continuous drainage in a total knee arthroplasty.Journal of clinical orthopaedics and traumaArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWith the trend towards accelerated rehabilitation, the method of skin closure has become increasingly important in orthopedic surgery. It is imperative to evaluate a technique that provides superior clinical and cosmetic results specifically for TKA, due to relatively thin skin anterior to the knee making poor wound healing an issue of concern. We conducted a prospective, single-arm audit evaluating the patient assessments of incision cosmesis for a novel technique in TKA wound closure called Concealed Cosmetic Closure (CCC).
methods570 knees were included in the study whose wound was closed with concealed cosmetic subcuticular interrupted sutures (CCCIS) between January 2014 and May 2016. A validated, ordinal questionnaire, Stony Brooks Scar Evaluation Scale (SBSES) designed to elicit a score evaluating scar satisfaction was interviewed by the investigators to patients 6 months to 3 years postoperatively.
resultsCCC is a simple and relatively rapid single-operator technique that takes about 7-10 min to close 11-17 cm knee incision. In our study, the mean score for Stony Brook Scar Evaluation Scale (SBSES) was 4.4 (SD of 0.73) (range 3-5). The scar was rated highly in terms of cosmesis, patient satisfaction and appearance of the wound.
conclusionCCC is an effective modality for skin closure in total knee arthroplasty providing superior cosmetic healing with minimal complications leading to improved long term patient satisfaction.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.