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General Orthopaedics

Comparison of sutures and staples for wound closure in orthopaedic surgery

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GENERAL ORTHOPAEDICS

Comparison of sutures and staples for wound closure in orthopaedic surgery .

This report has been verified by one or more authors of the original publication.

Sutures versus staples for wound closure in orthopaedic surgery: a pilot randomized controlled trial

Patient Saf Surg. 2013 Feb 9;7(1):6

Contributing Authors

JA Slade Shantz J Vernon S Morshed J Leiter G Stranges

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Dr. Shantz discusses potential differences between sutures and staples for wound closure in orthopaedic surgery.

190 patients undergoing an orthopedic procedure requiring a wound closure greater than 2cm in length, were randomized to determine a superior method of closure between sutures and staples, in terms of minimizing wound complications over 6 weeks. The evidence presented in this study demonstrates that 42% of all patients reported a wound complication with similar rates between suturing and stapling. Suturing skin required more time to close wounds, while stapling resulted in greater pain upon removal at 2 weeks. Mean surgical time, and rates of infections were similar between groups. The authors of this study indicated that approximately 1100 participants are required to show a 25% risk reduction between sutures and staples where wound complications are concerned.

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