Comparison between Zip-Type Skin Closure Device and Staple for Total Knee Arthroplasty: A Meta-Analysis

Biomed Res Int. 2021 May 13:2021:6670064. doi: 10.1155/2021/6670064. eCollection 2021.

Abstract

Purpose: To compare the efficacy and safety of zip-type skin closure device (SCD) and staple in total knee arthroplasty (TKA).

Methods: Potential academic articles were identified from PubMed, Springer, ScienceDirect, and Cochrane Library from the inception of electronic databases to July 2020. The statistical analyses were performed with RevMan 5.1.

Results: One randomized controlled trial (RCT) and 5 non-RCTs met the inclusion criteria. Present meta-analysis reveals that SCD is associated with lower wound pain score, scar score, and readmission compared with a staple. No significant differences are identified in terms of wound total complications, dehiscence, blisters, and infection.

Conclusions: Comparing with a staple, zip-type SCD is a less painful skin closure method with fewer medical cost undergoing TKA.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Arthroplasty, Replacement, Knee / methods*
  • Cicatrix / surgery
  • Humans
  • Knee Joint / surgery
  • Skin*
  • Sutures*
  • Wound Closure Techniques