Evidence map›Paper›PMID 34461886›Full record

Trial reportBMC musculoskeletal disorders2021

Evaluation of three methods of suture for skin closure in total knee arthroplasty: a randomized trial.

Rodrigo Barreiros Vieira, Gustavo Waldolato, João Sequeira Fernandes, Thiago Gontijo de Carvalho, Pedro Augusto Maciel Moreira, Guilherme Barbosa Moreira, Jorge Suman Vieira

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. The Effectiveness of PELNACAesthetic plastic surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Rodrigo Barreiros VieiraDepartment of Orthopaedics, Hospital Universitário Ciências Médicas-Faculdade de Ciências Médicas de Minas Gerais, Rua dos Aimorés, 2896- Santo Agostinho, MG 30140-073, Belo Horizonte, Brazil.
Gustavo WaldolatoDepartment of Orthopaedics, Hospital Universitário Ciências Médicas-Faculdade de Ciências Médicas de Minas Gerais, Rua dos Aimorés, 2896- Santo Agostinho, MG 30140-073, Belo Horizonte, Brazil. gwaldolato@hotmail.com.
João Sequeira FernandesDepartment of Orthopaedics, Hospital Universitário Ciências Médicas-Faculdade de Ciências Médicas de Minas Gerais, Rua dos Aimorés, 2896- Santo Agostinho, MG 30140-073, Belo Horizonte, Brazil.
Thiago Gontijo de CarvalhoDepartment of Orthopaedics, Hospital Universitário Ciências Médicas-Faculdade de Ciências Médicas de Minas Gerais, Rua dos Aimorés, 2896- Santo Agostinho, MG 30140-073, Belo Horizonte, Brazil.
Pedro Augusto Maciel MoreiraDepartment of Orthopaedics, Hospital Universitário Ciências Médicas-Faculdade de Ciências Médicas de Minas Gerais, Rua dos Aimorés, 2896- Santo Agostinho, MG 30140-073, Belo Horizonte, Brazil.
Guilherme Barbosa MoreiraDepartment of Orthopaedics, Hospital Universitário Ciências Médicas-Faculdade de Ciências Médicas de Minas Gerais, Rua dos Aimorés, 2896- Santo Agostinho, MG 30140-073, Belo Horizonte, Brazil.
Jorge Suman VieiraDepartment of Orthopaedics, Hospital Universitário Ciências Médicas-Faculdade de Ciências Médicas de Minas Gerais, Rua dos Aimorés, 2896- Santo Agostinho, MG 30140-073, Belo Horizonte, Brazil.
Faculdade de Ciências Médicas de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are several studies comparing techniques and different materials, yet the results are not unanimous. We compared three methods of skin closure in total knee arthroplasty (TKA), including suture with single stitches and unabsorbable MonoNylon®, as well as continuous subcuticular suture with Monocryl® or barbed Stratafix® absorbable suture.

methodsA prospective, randomized study was conducted with 63 patients undergoing TKA between March 2016 and December 2016. Patients were divided into three groups: traditional suture MonoNylon® (n 22), subcuticular continuous suture with Monocryl® (n 20), and another barbed with Stratafix® (n 21). The closure time, length of wire used, pain intensity, possible complications, and cosmeses were evaluated.

resultsSubcuticular continuous suture using Monocryl® was superior to traditional suture using MonoNylon® as less thread was used (p 0.01) and a better cosmetic effect was achieved (p < 0.01), which was equal to Stratafix® aspects analyzed (p > 0.05). Complications were observed mostly in patients who used Stratafix®.

conclusionsThis study concluded that the subcuticular suture with absorbable monofilament Monocryl® proved to be advantageous compared to the others because it presented results equal to the barbed Stratafix®, however with fewer complications. Furthermore, Monocryl® was shown to be equal or superior to traditional MonoNylon® suture regarding in relation pain intensity, aesthetic result, and effective cost.

trial registrationWHO ICTRP identifier RBR78dh5d. Retrospectively registered: 07/29/2020.

Indexed as

Arthroplasty, Replacement, KneeHumansProspective StudiesSkinSuturesSuture TechniquesSkin closureSutureTotal knee arthroplasty

Identifiers

PMID34461886
PMCPMC8406602
OpenAlexW3196944683

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.