Views on alternative suture techniques for skin closure in orthopaedic surgery vary. The groups did not differ in the values of either BMI or plica thickness (Pearson's r). One of the latter was due to early deep wound infection, which later resulted in revision TKA. Treatment for late discharge was required in two sutured wounds (6.1%) and in three stapled wounds (7.7%). ![]() In both groups, staples or sutures were removed on the 12 th postoperative day and there was no difference in wound drainage (median time, 5 days p=0.891 for both). The statistical significance of differences was set at a level of 0.05.Ī significant difference (p<0.005) between the groups was found in suturing time the median time for staples was 81 sec in comparison with 290 sec for conventional suture. The differences were statistically evaluated by parametric and non-parametric tests, i.e., the median test, χ(2)-test, Student's t-test, Fisher's exact test and Pearson's correlation coefficient. The groups, previously assessed as independent and comparable in terms of age, gender and BMI, were compared in the following criteria: suturing time, duration of wound drainage, wound healing, complications, resuturing when necessary, and their relation to the body mass index, skin plica thickness and co-morbidities potentially complicating soft tissue healing. In group 1 (n=39) skin was closed using metal staples (Leukosan Skin Stapler), in group 2 (n=33), conventional continuous Donati suture was used. They were allocated to two groups by random assignment based on the patient's date of birth (even or odd day of birth). The aim of this prospective non-blind randomised study was to evaluate wound healing and complications in relation to skin incision closure with either conventional suture or metal staples.Ī total of 72 patients, 21 men and 51 women, who underwent a standard primary total knee arthroplasty (TKA) at our department in the period from January till June 2013, were evaluated. Although there are many innovative suturing techniques which offer advantages, their safety is still being discussed. Uncomplicated wound healing is the essential condition of successful rehabilitation and the patient's return to normal activities. Nylon suture Skin staples Stapled wound closure Surgery Wound closure in foot and ankle Wound dehiscence Wound infection.Surgical incision closure, as well as total joint replacement itself, plays a key role in the overall outcome of an arthroplasty procedure. Nevertheless, further prospective randomized trials must cement these insights. The present results indicate that a skin staple wound closure is a considerable alternative to the nylon suture closure in foot and ankle surgeries. However, all patients had completely healed wounds at their 6-week follow-up. Four patients with staple sutures and five with nylon sutures experienced wound dehiscence 14 days postoperatively. 001), with better results seen for staple sutures. ![]() Furthermore, a patient survey using the verbal numeric rating scale (VNRS) for subjective pain and cosmetic results at the time of stitch removal (14 days) and after a 6-week follow-up was conducted.Ī significant between-group difference was found for surgery time (p =. Incision length, surgery time, in-patient stay, and wound complications were recorded. Twenty-nine patients received staple wound closures, while 32 patients received nylon suture closures using the Donati back-and-forth technique. The aim of this retrospective study was to compare nylon sutures and skin staples for wound closure in foot and ankle surgeries with respect to complications and patient satisfaction.Ī total of 61 patients underwent different operations in the fore-, mid-, and hindfoot areas, which were performed by a single surgeon. In foot surgeries, staple sutures are still considered critical and are only used sporadically. One such advantage to using staple sutures is the significant decrease in surgical time. Staple sutures have already been proven as a good alternative to nylon sutures for wound closure in hip and knee surgeries.
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