Water-Tight Arthrotomy Joint Closure of Modified Intervastus Approach in Total Knee Arthroplasty
Background: The joint closure technique used for total knee arthroplasty cases can have an impact on outcomes, especially when considering accelerated rehabilitation programs that follow surgery. In this study, we describe the details of the technical steps involved in performing the water-tight art...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/12/3985 |
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| author | Muthana M. Sartawi James M. Kohlmann Karam R. Abdelsamie Hafizur Rahman |
| author_facet | Muthana M. Sartawi James M. Kohlmann Karam R. Abdelsamie Hafizur Rahman |
| author_sort | Muthana M. Sartawi |
| collection | DOAJ |
| description | Background: The joint closure technique used for total knee arthroplasty cases can have an impact on outcomes, especially when considering accelerated rehabilitation programs that follow surgery. In this study, we describe the details of the technical steps involved in performing the water-tight arthrotomy joint closure technique that we developed and use. Methods: A total of 536 patients (average age: 62 years, average body mass index: 34 kg/m<sup>2</sup>) with primary osteoarthritis of the knee underwent total knee arthroplasty using the modified intervastus approach between 2019 and 2021. We used the water-tight arthrotomy joint closure technique to close the knee arthrotomy incision. Any infections and complications, as well as the duration of surgery and cost related to this wound closure technique, are also reported. Results: Few complications were noted with this closure technique. When we first started using it, there was one case of drainage through the proximal capsular repair which required a return to the operating room 5 days postoperatively for an irrigation and debridement. We also had two cases of superficial skin necrosis along a small part of the incision line which were observed on a weekly basis and which healed uneventfully with application of betadine once daily on the necrotic area. The average time for performing wound closure after total knee arthroplasty was 45 min. Conclusion: We conclude that the water-tight closure approach can achieve very durable, water-tight capsule repairs and results in a decrease in postoperative wound drainage. |
| first_indexed | 2024-03-11T02:18:00Z |
| format | Article |
| id | doaj.art-07a1d137ca2441ee84ae5286f38c12c9 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T02:18:00Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-07a1d137ca2441ee84ae5286f38c12c92023-11-18T10:59:26ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011212398510.3390/jcm12123985Water-Tight Arthrotomy Joint Closure of Modified Intervastus Approach in Total Knee ArthroplastyMuthana M. Sartawi0James M. Kohlmann1Karam R. Abdelsamie2Hafizur Rahman3Department of Orthopaedics, Sarah Bush Lincoln Health Center, Mattoon, IL 61938, USADepartment of Orthopaedics, Sarah Bush Lincoln Health Center, Mattoon, IL 61938, USADepartment of Orthopaedics, King’s College Hospital London, Dubai 14143, United Arab EmiratesSchool of Podiatric Medicine, University of Texas Rio Grande Valley, Harlingen, TX 78550, USABackground: The joint closure technique used for total knee arthroplasty cases can have an impact on outcomes, especially when considering accelerated rehabilitation programs that follow surgery. In this study, we describe the details of the technical steps involved in performing the water-tight arthrotomy joint closure technique that we developed and use. Methods: A total of 536 patients (average age: 62 years, average body mass index: 34 kg/m<sup>2</sup>) with primary osteoarthritis of the knee underwent total knee arthroplasty using the modified intervastus approach between 2019 and 2021. We used the water-tight arthrotomy joint closure technique to close the knee arthrotomy incision. Any infections and complications, as well as the duration of surgery and cost related to this wound closure technique, are also reported. Results: Few complications were noted with this closure technique. When we first started using it, there was one case of drainage through the proximal capsular repair which required a return to the operating room 5 days postoperatively for an irrigation and debridement. We also had two cases of superficial skin necrosis along a small part of the incision line which were observed on a weekly basis and which healed uneventfully with application of betadine once daily on the necrotic area. The average time for performing wound closure after total knee arthroplasty was 45 min. Conclusion: We conclude that the water-tight closure approach can achieve very durable, water-tight capsule repairs and results in a decrease in postoperative wound drainage.https://www.mdpi.com/2077-0383/12/12/3985total knee arthroplastyjoint closure techniquewater-tight joint closure |
| spellingShingle | Muthana M. Sartawi James M. Kohlmann Karam R. Abdelsamie Hafizur Rahman Water-Tight Arthrotomy Joint Closure of Modified Intervastus Approach in Total Knee Arthroplasty Journal of Clinical Medicine total knee arthroplasty joint closure technique water-tight joint closure |
| title | Water-Tight Arthrotomy Joint Closure of Modified Intervastus Approach in Total Knee Arthroplasty |
| title_full | Water-Tight Arthrotomy Joint Closure of Modified Intervastus Approach in Total Knee Arthroplasty |
| title_fullStr | Water-Tight Arthrotomy Joint Closure of Modified Intervastus Approach in Total Knee Arthroplasty |
| title_full_unstemmed | Water-Tight Arthrotomy Joint Closure of Modified Intervastus Approach in Total Knee Arthroplasty |
| title_short | Water-Tight Arthrotomy Joint Closure of Modified Intervastus Approach in Total Knee Arthroplasty |
| title_sort | water tight arthrotomy joint closure of modified intervastus approach in total knee arthroplasty |
| topic | total knee arthroplasty joint closure technique water-tight joint closure |
| url | https://www.mdpi.com/2077-0383/12/12/3985 |
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