Extensor Mechanism Repair Failure With Use of Bidirectional Barbed Suture in Total Knee Arthroplasty
Abstract Total knee arthroplasty (TKA) continues to advance as innovative devices become available. #2 PDO Quill SRS (Angiotech, Reading, Pa) bidirectional barbed suture was used for 161 primary TKAs at our facility. We report on 3 separate cases of extensor mechanism repair failure after primary TK...
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| Veröffentlicht in: | The Journal of arthroplasty 2012-08, Vol.27 (7), p.1413.e1-1413.e4 |
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| container_end_page | 1413.e4 |
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| container_issue | 7 |
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| container_title | The Journal of arthroplasty |
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| creator | Wright, Russell C., BS Gillis, Craig T., BS Yacoubian, Stephan V., MD Raven, Raymond B., MD Falkinstein, Yuri, MD Yacoubian, Shahan V., MD |
| description | Abstract Total knee arthroplasty (TKA) continues to advance as innovative devices become available. #2 PDO Quill SRS (Angiotech, Reading, Pa) bidirectional barbed suture was used for 161 primary TKAs at our facility. We report on 3 separate cases of extensor mechanism repair failure after primary TKA in which a barbed suture was used for extensor mechanism closure. Before the implementation of this device, there were no reported failures in 385 primary TKAs. We recommend that surgeons who use this device for extensor mechanism repair of a medial parapatellar arthrotomy in TKA exercise caution when operating on patients with morbid obesity, diabetes, and rheumatoid arthritis. We have discontinued use of the bidirectional barbed suture until more definitive large orthopedic studies establish its efficacy and safety. |
| doi_str_mv | 10.1016/j.arth.2011.08.013 |
| format | Article |
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We report on 3 separate cases of extensor mechanism repair failure after primary TKA in which a barbed suture was used for extensor mechanism closure. Before the implementation of this device, there were no reported failures in 385 primary TKAs. We recommend that surgeons who use this device for extensor mechanism repair of a medial parapatellar arthrotomy in TKA exercise caution when operating on patients with morbid obesity, diabetes, and rheumatoid arthritis. We have discontinued use of the bidirectional barbed suture until more definitive large orthopedic studies establish its efficacy and safety.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2011.08.013</identifier><identifier>PMID: 21978567</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Anti-Bacterial Agents - therapeutic use ; Arthroplasty, Replacement, Knee - adverse effects ; Arthroplasty, Replacement, Knee - methods ; arthrotomy closure ; bidirectional barbed suture ; Equipment Failure ; extensor mechanism failure ; Female ; Humans ; knotless suture ; Male ; Middle Aged ; Orthopedics ; Osteoarthritis, Knee - surgery ; quill suture ; Reoperation ; Surgical Wound Infection - drug therapy ; Suture Techniques - adverse effects ; Sutures - adverse effects ; total knee arthroplasty ; Treatment Failure ; Wound Healing</subject><ispartof>The Journal of arthroplasty, 2012-08, Vol.27 (7), p.1413.e1-1413.e4</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-717f789fbda3aeebd46eb5409d664ff2b2d42374afd6f88de7f9a64de87554133</citedby><cites>FETCH-LOGICAL-c326t-717f789fbda3aeebd46eb5409d664ff2b2d42374afd6f88de7f9a64de87554133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540311004487$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21978567$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wright, Russell C., BS</creatorcontrib><creatorcontrib>Gillis, Craig T., BS</creatorcontrib><creatorcontrib>Yacoubian, Stephan V., MD</creatorcontrib><creatorcontrib>Raven, Raymond B., MD</creatorcontrib><creatorcontrib>Falkinstein, Yuri, MD</creatorcontrib><creatorcontrib>Yacoubian, Shahan V., MD</creatorcontrib><title>Extensor Mechanism Repair Failure With Use of Bidirectional Barbed Suture in Total Knee Arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Total knee arthroplasty (TKA) continues to advance as innovative devices become available. #2 PDO Quill SRS (Angiotech, Reading, Pa) bidirectional barbed suture was used for 161 primary TKAs at our facility. We report on 3 separate cases of extensor mechanism repair failure after primary TKA in which a barbed suture was used for extensor mechanism closure. Before the implementation of this device, there were no reported failures in 385 primary TKAs. We recommend that surgeons who use this device for extensor mechanism repair of a medial parapatellar arthrotomy in TKA exercise caution when operating on patients with morbid obesity, diabetes, and rheumatoid arthritis. We have discontinued use of the bidirectional barbed suture until more definitive large orthopedic studies establish its efficacy and safety.</description><subject>Aged</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>arthrotomy closure</subject><subject>bidirectional barbed suture</subject><subject>Equipment Failure</subject><subject>extensor mechanism failure</subject><subject>Female</subject><subject>Humans</subject><subject>knotless suture</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>quill suture</subject><subject>Reoperation</subject><subject>Surgical Wound Infection - drug therapy</subject><subject>Suture Techniques - adverse effects</subject><subject>Sutures - adverse effects</subject><subject>total knee arthroplasty</subject><subject>Treatment Failure</subject><subject>Wound Healing</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1rFDEUhoModq3-AS8kl97MmK9JsiBCW1oVK4Jt8TJkJids1tnJNsmI--_NuNULL7wKhOe8nPc5CL2kpKWEyjfb1qayaRmhtCW6JZQ_QivacdZoQeRjtCJa86YThJ-gZzlvSQW7TjxFJ4yule6kWiF3-bPAlGPCn2HY2CnkHf4KexsSvrJhnBPgb6Fs8F0GHD0-Dy4kGEqIkx3xuU09OHwzl4ULE76NpX5_mgDwWV0txf1oczk8R0-8HTO8eHhP0d3V5e3Fh-b6y_uPF2fXzcCZLI2iyiu99r2z3AL0Tkjo6_prJ6XwnvXMCcaVsN5Jr7UD5ddWCgda1VqU81P0-pi7T_F-hlzMLuQBxtFOEOdsKGFKKk1EV1F2RIcUc07gzT6FnU2HCpnFrtmaxa5Z7BqiDfmd_-ohf-534P6O_NFZgbdHAGrLHwGSyUOAaYCjNeNi-H_-u3_GhzFMYbDjdzhA3sY5Ve21h8nMEHOz3Hc5L6WECKEV_wVRFKD8</recordid><startdate>201208</startdate><enddate>201208</enddate><creator>Wright, Russell C., BS</creator><creator>Gillis, Craig T., BS</creator><creator>Yacoubian, Stephan V., MD</creator><creator>Raven, Raymond B., MD</creator><creator>Falkinstein, Yuri, MD</creator><creator>Yacoubian, Shahan V., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201208</creationdate><title>Extensor Mechanism Repair Failure With Use of Bidirectional Barbed Suture in Total Knee Arthroplasty</title><author>Wright, Russell C., BS ; Gillis, Craig T., BS ; Yacoubian, Stephan V., MD ; Raven, Raymond B., MD ; Falkinstein, Yuri, MD ; Yacoubian, Shahan V., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-717f789fbda3aeebd46eb5409d664ff2b2d42374afd6f88de7f9a64de87554133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>arthrotomy closure</topic><topic>bidirectional barbed suture</topic><topic>Equipment Failure</topic><topic>extensor mechanism failure</topic><topic>Female</topic><topic>Humans</topic><topic>knotless suture</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>quill suture</topic><topic>Reoperation</topic><topic>Surgical Wound Infection - drug therapy</topic><topic>Suture Techniques - adverse effects</topic><topic>Sutures - adverse effects</topic><topic>total knee arthroplasty</topic><topic>Treatment Failure</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wright, Russell C., BS</creatorcontrib><creatorcontrib>Gillis, Craig T., BS</creatorcontrib><creatorcontrib>Yacoubian, Stephan V., MD</creatorcontrib><creatorcontrib>Raven, Raymond B., MD</creatorcontrib><creatorcontrib>Falkinstein, Yuri, MD</creatorcontrib><creatorcontrib>Yacoubian, Shahan V., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wright, Russell C., BS</au><au>Gillis, Craig T., BS</au><au>Yacoubian, Stephan V., MD</au><au>Raven, Raymond B., MD</au><au>Falkinstein, Yuri, MD</au><au>Yacoubian, Shahan V., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extensor Mechanism Repair Failure With Use of Bidirectional Barbed Suture in Total Knee Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2012-08</date><risdate>2012</risdate><volume>27</volume><issue>7</issue><spage>1413.e1</spage><epage>1413.e4</epage><pages>1413.e1-1413.e4</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Total knee arthroplasty (TKA) continues to advance as innovative devices become available. #2 PDO Quill SRS (Angiotech, Reading, Pa) bidirectional barbed suture was used for 161 primary TKAs at our facility. We report on 3 separate cases of extensor mechanism repair failure after primary TKA in which a barbed suture was used for extensor mechanism closure. Before the implementation of this device, there were no reported failures in 385 primary TKAs. We recommend that surgeons who use this device for extensor mechanism repair of a medial parapatellar arthrotomy in TKA exercise caution when operating on patients with morbid obesity, diabetes, and rheumatoid arthritis. We have discontinued use of the bidirectional barbed suture until more definitive large orthopedic studies establish its efficacy and safety.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21978567</pmid><doi>10.1016/j.arth.2011.08.013</doi></addata></record> |
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| ispartof | The Journal of arthroplasty, 2012-08, Vol.27 (7), p.1413.e1-1413.e4 |
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| subjects | Aged Anti-Bacterial Agents - therapeutic use Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - methods arthrotomy closure bidirectional barbed suture Equipment Failure extensor mechanism failure Female Humans knotless suture Male Middle Aged Orthopedics Osteoarthritis, Knee - surgery quill suture Reoperation Surgical Wound Infection - drug therapy Suture Techniques - adverse effects Sutures - adverse effects total knee arthroplasty Treatment Failure Wound Healing |
| title | Extensor Mechanism Repair Failure With Use of Bidirectional Barbed Suture in Total Knee Arthroplasty |
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