AAOS2017: Evaluating two wound closure techniques following ORIF for ankle fractures

Study Type: Randomized Trial
OE Level of Evidence: N/A
Journal Level of Evidence: N/A
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Synopsis
30 patients with ankle fractures undergoing open reduction and internal fixation were randomized to wound closure using either an Allgöwer-Donati technique or a vertical mattress suture technique. The purpose of this study was to compared wound perfusion between these two closure techniques. Wound perfusion was Please login to view the rest of this report. Please login to view the rest of this report.
Why was this study needed now?
Perfusion is a critical factor in wound healing and the prevention of wound complications. Few studies have evaluated the effect of different wound closure techniques on wound perfusion following open reduction and internal fixation of ankle fractures.
What was the principal research question?
In wound closure following fixation of an ankle fracture, is there any significant difference in objective wound perfusion between the Allgöwer-Donati and vertical mattress suture techniques, assessed over a minimum of 3 months postoperatively?
Population: 30 patients undergoing open reduction and internal fixation for an ankle fracture.
Intervention: Allgöwer-Donati group: Wound closure was performed using the Allgöwer-Donati technique (n=15)
Comparison: Vertical Mattress group: Wound closure was performed using the vertical mattress suture technique (n=15)
Outcomes: The main outcome was skin perfusion assessed using laser-assisted indocyanine green angiography (LA-ICGA) at 30 separate locations along the incision.
Methods: RCT
Time: The minimum follow-up was 3 months. Mean follow-up was 4.7 months
What were the important findings?
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What should I remember most?
How will this affect the care of my patients?
The authors responsible for this critical appraisal and ACE Report indicate no potential conflicts of interest relating to the content in the original publication.