Foot and Ankle Surgical Incision Closure With Three Different Materials
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(16):5 J Foot Ankle Surg. 2022 01-Jul;():. 10.1053/j.jfas.2021.11.010What this means for my practice?
Staples may be more reliable and are a faster alternative to wound closure than sutures for foot & ankle surgery. Alternatively, absorbable sutures reduce pain postoperatively as they do not have to be removed. Both sutures and staples are effective in wound closure with no significant differences in complications. ASEPSIS and HWES scores could have been influenced by either the patient or examiner as this was not a double-blinded trial. Future trials should consider increasing the follow-up period to greater than 6 weeks to measure healing outcomes and complications.
Study Summary
One hundred and twenty-four patients undergoing foot and ankle surgery were randomized to receive either nonabsorbable sutures (n=42), absorbable sutures (n=42), or staples (n=40). The primary outcomes of this trial were to determine wound healing using the Additional treatment, Serous discharge, Erythema, Purulent exudate, Separation of deep tissues, Isolation of bacteria, and Stay as an inpatient (ASEPSIS) and Hollander Wound Evaluation Scale (HWES) scores at 2 and 6 weeks. No significant differences were noted between all groups at all time points with regard to ASEPSIS and HWES scores.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
Are you affiliated with one of our partner associations?
Click here to gain complimentary access as part your association member benefits!
0 of 4 monthly FREE articles unlocked
