{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:21:11Z","timestamp":1790356871337,"version":"4.1.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2020,3,7]],"date-time":"2020-03-07T00:00:00Z","timestamp":1583539200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,3,7]],"date-time":"2020-03-07T00:00:00Z","timestamp":1583539200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/100009933","name":"Ethicon","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100009933","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Musculoskelet Surg"],"published-print":{"date-parts":[[2021,12]]},"DOI":"10.1007\/s12306-020-00654-y","type":"journal-article","created":{"date-parts":[[2020,3,7]],"date-time":"2020-03-07T10:02:55Z","timestamp":1583575375000},"page":"275-281","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Barbed sutures reduce arthrotomy closure duration compared to interrupted conventional sutures for total knee arthroplasty: a randomized controlled trial"],"prefix":"10.1007","volume":"105","author":[{"given":"K.","family":"Sundaram","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. A.","family":"Warren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Klika","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. S.","family":"Piuzzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. A.","family":"Mont","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Krebs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,3,7]]},"reference":[{"key":"654_CR1","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1016\/j.arth.2017.09.032","volume":"33","author":"VE Krebs","year":"2018","unstructured":"Krebs VE, Elmallah RK, Khlopas A et al (2018) Wound Closure Techniques for Total Knee Arthroplasty: an Evidence-Based Review of the Literature. J Arthroplasty 33:633\u2013638. https:\/\/doi.org\/10.1016\/j.arth.2017.09.032","journal-title":"J Arthroplasty"},{"key":"654_CR2","unstructured":"Khlopas A, Sodhi N, Anis HK, et al (2019) A systematic review of suture technologies in total knee arthroplasty. Surg Technol Int 34"},{"key":"654_CR3","doi-asserted-by":"publisher","first-page":"12","DOI":"10.21037\/atm.2017.08.21","volume":"10","author":"RK Elmallah","year":"2017","unstructured":"Elmallah RK, Khlopas A, Faour M et al (2017) Economic evaluation of different suture closure methods: barbed versus traditional interrupted sutures. Ann Transl Med 10:12. https:\/\/doi.org\/10.21037\/atm.2017.08.21","journal-title":"Ann Transl Med"},{"key":"654_CR4","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1007\/s11999-012-2593-z","volume":"471","author":"JR Fowler","year":"2013","unstructured":"Fowler JR, Perkins TA, Buttaro BA, Truant AL (2013) Bacteria adhere less to barbed monofilament than braided sutures in a contaminated wound model. Clin Orthop Relat Res 471:665\u2013671. https:\/\/doi.org\/10.1007\/s11999-012-2593-z","journal-title":"Clin Orthop Relat Res"},{"key":"654_CR5","doi-asserted-by":"publisher","first-page":"1272","DOI":"10.1016\/j.arth.2016.11.010","volume":"32","author":"MR Morris","year":"2017","unstructured":"Morris MR, Bergum C, Jackson N, Markel DC (2017) Decreased bacterial adherence, biofilm formation, and tissue reactivity of barbed monofilament suture in an in vivo contaminated wound model. J Arthroplasty 32:1272\u20131279. https:\/\/doi.org\/10.1016\/j.arth.2016.11.010","journal-title":"J Arthroplasty"},{"key":"654_CR6","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1002\/jbm.b.32670","volume":"100","author":"K Gingras","year":"2012","unstructured":"Gingras K, Zaruby J, Maul D (2012) Comparison of V-Loc 180 wound closure device and Quill PDO knotless tissue-closure device for intradermal closure in a porcine in vivo model: evaluation of biomechanical wound strength. J Biomed Mater Res B Appl Biomater 100:1053\u20131058. https:\/\/doi.org\/10.1002\/jbm.b.32670","journal-title":"J Biomed Mater Res B Appl Biomater"},{"key":"654_CR7","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1016\/j.arth.2010.07.003","volume":"26","author":"JJ Vakil","year":"2011","unstructured":"Vakil JJ, O\u2019Reilly MP, Sutter EG et al (2011) Knee arthrotomy repair with a continuous barbed suture: a biomechanical study. J Arthroplasty 26:710\u2013713. https:\/\/doi.org\/10.1016\/j.arth.2010.07.003","journal-title":"J Arthroplasty"},{"key":"654_CR8","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1055\/s-0031-1275400","volume":"24","author":"M Nett","year":"2011","unstructured":"Nett M, Avelar R, Sheehan M, Cushner F (2011) Water-tight knee arthrotomy closure: comparison of a novel single bidirectional barbed self-retaining running suture versus conventional interrupted sutures. J Knee Surg 24:55\u201359. https:\/\/doi.org\/10.1055\/s-0031-1275400","journal-title":"J Knee Surg"},{"key":"654_CR9","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1055\/s-0037-1615812","volume":"31","author":"M Faour","year":"2018","unstructured":"Faour M, Khlopas A, Elmallah RK et al (2018) The role of barbed sutures in wound closure following knee and hip arthroplasty: a review. J Knee Surg 31:858\u2013865. https:\/\/doi.org\/10.1055\/s-0037-1615812","journal-title":"J Knee Surg"},{"key":"654_CR10","doi-asserted-by":"publisher","first-page":"19764","DOI":"10.1038\/srep19764","volume":"6","author":"W Zhang","year":"2016","unstructured":"Zhang W, Xue D, Yin H et al (2016) Barbed versus traditional sutures for wound closure in knee arthroplasty: a systematic review and meta-analysis. Sci Rep 6:19764. https:\/\/doi.org\/10.1038\/srep19764","journal-title":"Sci Rep"},{"key":"654_CR11","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1007\/s00590-015-1644-z","volume":"25","author":"S Meena","year":"2015","unstructured":"Meena S, Gangary S, Sharma P, Chowdhury B (2015) Barbed versus standard sutures in total knee arthroplasty: a meta-analysis. Eur J Orthop Surg Traumatol 25:1105\u20131110. https:\/\/doi.org\/10.1007\/s00590-015-1644-z","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"654_CR12","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1007\/s00264-015-3049-3","volume":"40","author":"RW Borzio","year":"2016","unstructured":"Borzio RW, Pivec R, Kapadia BH et al (2016) Barbed sutures in total hip and knee arthroplasty: what is the evidence? A meta-analysis. Int Orthop 40:225\u2013231. https:\/\/doi.org\/10.1007\/s00264-015-3049-3","journal-title":"Int Orthop"},{"key":"654_CR13","doi-asserted-by":"publisher","first-page":"2655","DOI":"10.1007\/s11999-017-5474-7","volume":"475","author":"DC Austin","year":"2017","unstructured":"Austin DC, Keeney BJ, Dempsey BE et al (2017) Are Barbed Sutures Associated With 90-day Reoperation Rates After Primary TKA? Clin Orthop Relat Res 475:2655\u20132665. https:\/\/doi.org\/10.1007\/s11999-017-5474-7","journal-title":"Clin Orthop Relat Res"},{"key":"654_CR14","doi-asserted-by":"publisher","first-page":"966","DOI":"10.1016\/j.arth.2013.09.045","volume":"29","author":"AL Campbell","year":"2014","unstructured":"Campbell AL, Patrick DAJ, Liabaud B, Geller JA (2014) Superficial wound closure complications with barbed sutures following knee arthroplasty. J Arthroplasty 29:966\u2013969. https:\/\/doi.org\/10.1016\/j.arth.2013.09.045","journal-title":"J Arthroplasty"},{"key":"654_CR15","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.arth.2013.05.031","volume":"29","author":"EL Smith","year":"2014","unstructured":"Smith EL, DiSegna ST, Shukla PY, Matzkin EG (2014) Barbed versus traditional sutures: closure time, cost, and wound related outcomes in total joint arthroplasty. J Arthroplasty 29:283\u2013287. https:\/\/doi.org\/10.1016\/j.arth.2013.05.031","journal-title":"J Arthroplasty"},{"key":"654_CR16","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2011.08.013","author":"RC Wright","year":"2012","unstructured":"Wright RC, Gillis CT, Yacoubian SV et al (2012) Extensor mechanism repair failure with use of bidirectional barbed suture in total knee arthroplasty. J Arthroplasty. https:\/\/doi.org\/10.1016\/j.arth.2011.08.013","journal-title":"J Arthroplasty"},{"key":"654_CR17","doi-asserted-by":"publisher","first-page":"2019","DOI":"10.1007\/s11999-015-4157-5","volume":"473","author":"AP Sah","year":"2015","unstructured":"Sah AP, Levine BR, Sah AP et al (2015) Is there an advantage to knotless barbed suture in TKA wound closure? A randomized trial in simultaneous bilateral TKAs. Clin Orthop Relat Res 473:2019\u20132027. https:\/\/doi.org\/10.1007\/s11999-015-4157-5","journal-title":"Clin Orthop Relat Res"},{"key":"654_CR18","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/j.arth.2014.01.041","volume":"29","author":"JM Gililland","year":"2014","unstructured":"Gililland JM, Anderson LA, Barney JK et al (2014) Barbed versus standard sutures for closure in total knee arthroplasty: a multicenter prospective randomized trial. J Arthroplasty 29:135\u2013138. https:\/\/doi.org\/10.1016\/j.arth.2014.01.041","journal-title":"J Arthroplasty"},{"key":"654_CR19","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1007\/s11999-011-2104-7","volume":"470","author":"JM Gililland","year":"2012","unstructured":"Gililland JM, Anderson LA, Sun G et al (2012) Perioperative closure-related complication rates and cost analysis of barbed suture for closure in TKA. Clin Orthop Relat Res 470:125\u2013129. https:\/\/doi.org\/10.1007\/s11999-011-2104-7","journal-title":"Clin Orthop Relat Res"},{"key":"654_CR20","doi-asserted-by":"publisher","first-page":"1474","DOI":"10.1016\/j.arth.2016.12.015","volume":"32","author":"VWK Chan","year":"2017","unstructured":"Chan VWK, Chan P-K, Chiu K-Y et al (2017) Does Barbed Suture Lower Cost and Improve Outcome in Total Knee Arthroplasty? A Randomized Controlled Trial. J Arthroplasty 32:1474\u20131477. https:\/\/doi.org\/10.1016\/j.arth.2016.12.015","journal-title":"J Arthroplasty"},{"key":"654_CR21","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1007\/s11999-012-2489-y","volume":"471","author":"WL Healy","year":"2013","unstructured":"Healy WL, Della Valle CJ, Iorio R et al (2013) Complications of total knee arthroplasty: standardized list and definitions of the knee society knee. Clin Orthop Relat Res 471:215\u2013220. https:\/\/doi.org\/10.1007\/s11999-012-2489-y","journal-title":"Clin Orthop Relat Res"},{"key":"654_CR22","doi-asserted-by":"publisher","first-page":"2734","DOI":"10.1016\/j.arth.2018.05.015","volume":"33","author":"AJ Luzzi","year":"2018","unstructured":"Luzzi AJ, Fleischman AN, Matthews CN et al (2018) The \u201cBundle Busters\u201d: incidence and costs of postacute complications following total joint arthroplasty. J Arthroplasty 33:2734\u20132739. https:\/\/doi.org\/10.1016\/j.arth.2018.05.015","journal-title":"J Arthroplasty"},{"key":"654_CR23","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2018.05.042","author":"SM Kurtz","year":"2018","unstructured":"Kurtz SM, Lau EC, Son MS et al (2018) Are we winning or losing the battle with periprosthetic joint infection: trends in periprosthetic joint infection and mortality risk for the medicare population. J Arthroplasty. https:\/\/doi.org\/10.1016\/j.arth.2018.05.042","journal-title":"J Arthroplasty"},{"key":"654_CR24","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1055\/s-0030-1268692","volume":"23","author":"T Eickmann","year":"2010","unstructured":"Eickmann T, Quane E (2010) Total knee arthroplasty closure with barbed sutures. J Knee Surg 23:163\u2013167. https:\/\/doi.org\/10.1055\/s-0030-1268692","journal-title":"J Knee Surg"},{"key":"654_CR25","doi-asserted-by":"publisher","first-page":"2061","DOI":"10.1007\/s00264-017-3529-8","volume":"41","author":"R Malhotra","year":"2017","unstructured":"Malhotra R, Jain V, Kumar V, Gautam D (2017) Evaluation of running knotless barbed suture for capsular closure in primary total knee arthroplasty for osteoarthritis\u2014a prospective randomized study. Int Orthop 41:2061\u20132066. https:\/\/doi.org\/10.1007\/s00264-017-3529-8","journal-title":"Int Orthop"},{"key":"654_CR26","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1055\/s-0034-1373741","volume":"28","author":"AV Maheshwari","year":"2015","unstructured":"Maheshwari AV, Naziri Q, Wong A et al (2015) Barbed sutures in total knee arthroplasty: are these safe, efficacious, and cost-effective? J Knee Surg 28:151\u2013156. https:\/\/doi.org\/10.1055\/s-0034-1373741","journal-title":"J Knee Surg"},{"key":"654_CR27","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/j.surge.2011.10.002","volume":"11","author":"MT Kennedy","year":"2013","unstructured":"Kennedy MT, Ong JCY, Mitra A et al (2013) The use of weekly departmental review of all orthopedic intra-operative radiographs in order to improve quality, due to standardized peer expectations and the \u201cHawthorne effect\u201d. Surgeon 11:10\u201313. https:\/\/doi.org\/10.1016\/j.surge.2011.10.002","journal-title":"Surgeon"}],"container-title":["MUSCULOSKELETAL SURGERY"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12306-020-00654-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12306-020-00654-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12306-020-00654-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T11:19:38Z","timestamp":1636456778000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12306-020-00654-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,7]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["654"],"URL":"https:\/\/doi.org\/10.1007\/s12306-020-00654-y","relation":{},"ISSN":["2035-5106","2035-5114"],"issn-type":[{"value":"2035-5106","type":"print"},{"value":"2035-5114","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,7]]},"assertion":[{"value":"9 October 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 February 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 March 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"This study was sponsored by Ethicon Corporation. Outside of the submitted work, the following potential conflicts were disclosed: Dr. Krebs reports grants from Ethicon, during the conduct of the study; personal fees from Stryker, personal fees from Stryker Orthopaedics, outside the submitted work; in addition, Dr. Krebs has a patent Stryker issued and Journal of Arthroplasty: Editorial or governing board. Dr. Mont reports personal fees from Cymedica, grants and personal fees from DJ Orthopaedics, grants from Flexion Therapeutics, grants and personal fees from Johnson & Johnson, other from Medicus Works LLC, grants from National Institutes of Health (NIAMS & NICHD), grants and personal fees from Ongoing Care Solutions:, grants and personal fees from Orthosensor, personal fees from Pacira, personal fees and other from Peerwell, personal fees from Performance Dynamics, personal fees from Pfizer, grants and personal fees from Stryker, grants from Tissue Gene, other from Up to Date, other from USMI, other from Wolters Kluwer Health - Lippincott Williams & Wilkins, outside the submitted work; in addition, Dr. Mont has a patent Microport licensed, and a patent Stryker licensed and AAOS: Board or committee member, American Association of Hip and Knee Surgeons: Board or committee member, Journal of Arthroplasty: Editorial or governing board, Journal of Knee Surgery: Editorial or governing board, Knee Society: Board or committee member, Orthopedics: Editorial or governing board, Surgical Techniques International: Editorial or governing board.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}