NCT03031314

Brief Summary

Barbed suture use has been gaining increased acceptance and has been reported to offer potential advantages in wound closure of hip and knee replacement surgeries. The goal of this study is to compare joint replacement patient outcomes who receive a knotless barbed suture versus a traditional suture (randomized into two arms). The traditional suture used at our joint replacement program is defined as: interrupted sutures to close the retinaculum followed by running monocryl sutures for skin closure. Both knotless barbed suture and the traditional sutures have similar suture size. Patient outcomes examined will be patient range of motion (recorded daily) and complications with wound healing (evaluated periodically in-person at post-operative visits). Secondary outcomes examined will include wound drainage on dressings by surface area and weight, as well as the wound cosmesis and perceived presence of subcutaneous surgical knots.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,000

participants targeted

Target at P75+ for not_applicable knee-osteoarthritis

Timeline
Completed

Started Oct 2014

Typical duration for not_applicable knee-osteoarthritis

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 2014

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2016

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2017

Completed
7 days until next milestone

First Submitted

Initial submission to the registry

January 8, 2017

Completed
17 days until next milestone

First Posted

Study publicly available on registry

January 25, 2017

Completed
Last Updated

January 31, 2017

Status Verified

January 1, 2017

Enrollment Period

2.2 years

First QC Date

January 8, 2017

Last Update Submit

January 27, 2017

Conditions

Keywords

Joint ReplacementKnee ReplacementWound HealingHip Replacement

Outcome Measures

Primary Outcomes (4)

  • Number of soft tissue infections

    evaluation of wound infection after surgery, number of patients with wound infection based on clinical examination

    12 weeks

  • use of antibiotics to treat infection, recorded by number

    record whether antibiotics used for suspicion or treatment of superficial infection, number of episodes recorded

    12 weeks

  • measurement of incision drainage, measured in grams and mm surface area

    evaluation of incision drainage based on dressing saturation size and weight, measured in grams for weight, and measured by surface area mm

    2 weeks

  • assessment of quality of incision closure, recorded by time and number

    record delayed healing and reported by time, suture rejection based on number of episodes

    12 weeks

Study Arms (2)

Standard suture

ACTIVE COMPARATOR

standard suture used (monocryl)

Device: standard suture

Barbed suture

ACTIVE COMPARATOR

barbed suture used (Quill suture, Surgical Specialties)

Device: barbed suture

Interventions

Barbed suture
Standard suture

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • primary joint replacement

You may not qualify if:

  • no prior joint surgery
  • no infection

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Osteoarthritis, KneeOsteoarthritis, Hip

Condition Hierarchy (Ancestors)

OsteoarthritisArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Physician and Research Chair, Institute for Joint Restoration and Research

Study Record Dates

First Submitted

January 8, 2017

First Posted

January 25, 2017

Study Start

October 1, 2014

Primary Completion

December 1, 2016

Study Completion

January 1, 2017

Last Updated

January 31, 2017

Record last verified: 2017-01