Evaluation of Different Suture Materials and Closure Techniques in Lower Extremity Arthroplasty Effects on Wound Healing, Functional Outcomes, and Complications

What this Trial Is About

This clinical trial investigates the effects of different suture materials and wound closure techniques on wound healing, functional recovery, and postoperative complications in adults undergoing total hip or knee arthroplasty for osteoarthritis or revision surgery. The study aims to identify the most effective wound closure method to reduce issues such as prolonged drainage, wound opening, infection, and local inflammation. At least 90 patients will take part, with all surgeries performed by the same surgical team using standardized procedures to ensure consistency. Participants will be randomly assigned to one of two groups. One group will receive wound closure using barbed suture material with a continuous technique, while the other group will have conventional suture material applied with a standard interrupted closure method. Both approaches will be applied following primary or aseptic revision total hip or knee arthroplasty. The study will monitor effects during and after surgery to compare these two wound closure strategies. Patients will be followed for 90 days after surgery. Researchers will collect data on wound complications such as drainage duration, infections, wound reopening, and signs of inflammation. They will also record operative time, blood loss during surgery, cosmetic results, and functional scores of the hip or knee before surgery and three months afterward. All data will be analyzed to determine which closure method yields better healing and fewer complications, helping guide future surgical care.

Wound Closure Materials and Techniques in Hip and Knee Arthroplasty