Document Detail


The efficacy of cyanoacrylate-derived surgical adhesive for use in the repair of lacerations during competitive athletics.
MedLine Citation:
PMID:  10830679     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Octylcyanoacrylate (Dermabond) is approved by the Food and Drug Administration for laceration closure. International studies have shown its utility in wound closure and have shown it to be as good or better than suture closure for speed, patient preference, and cosmesis, with no difference in the rate of dehiscence or infection. We sought to determine whether it retains its tensile strength, durability, and skin apposition when an athlete is allowed to reenter competition, where it is subject to recurrent stress, moisture, and trauma. The study was performed at two professional hockey sites. Wounds were anesthetized, irrigated, and debrided. The skin was closed with Dermabond. The athlete was returned immediately to competition. Wounds were examined at the end of competition and again at 7 days. A total of 32 lacerations on 28 players were studied. The mean size of laceration was 2.3 cm (range 0.8 cm to 4.5 cm). The majority (95%) of wounds were on the face. Of the 32 lacerations, 31 (97.6%) had good results at the conclusion of the game. Of these 31, all had good results at 7 days following repair. Dermabond retained its strength, durability, and skin apposition when the athlete was allowed to reenter competition following wound repair.
Authors:
A D Perron; J A Garcia; E Parker Hays; R Schafermeyer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  18     ISSN:  0735-6757     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-06-08     Completed Date:  2000-06-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  261-3     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, University of Virginia Health Sciences Center, Charlottesville 22906-0014, USA. adp9b@virginia.edu
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MeSH Terms
Descriptor/Qualifier:
Competitive Behavior
Cyanoacrylates / therapeutic use*
Emergency Medicine / methods
Emergency Treatment / methods*
Esthetics
Hockey / injuries*
Humans
Patient Satisfaction
Prospective Studies
Sports Medicine / methods
Tensile Strength
Time Factors
Tissue Adhesives / therapeutic use*
Wound Healing
Wound Infection / etiology
Wounds, Penetrating / etiology,  psychology,  therapy*
Chemical
Reg. No./Substance:
0/Cyanoacrylates; 0/Tissue Adhesives; 0/octylcyanoacrylate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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