Shantz JA, Vernon J, Morshed S, Leiter J, Stranges G (2013) Sutures versus staples for wound closure in orthopaedic surgery: a pilot randomised controlled trial. Lehtonen E, Patel H, Phillips S, Correia Pinto M, Naranje S, Shah A (2018) Staple versus suture closure for ankle fracture fixation: retrospective chart review for safety and outcomes. Gohiya A, Gupta DC, Gaur S (2015) Comparative study of outcome of two methods (sutures vs staples) of skin closure in orthopedic surgery. Khan RJ, Fick D, Yao F, Tang K, Hurworth M, Nivbrant B, Wood D (2006) A comparison of three methods of wound closure following arthroplasty: a prospective, randomised, controlled trial. Yuenyongviwat V, Iamthanaporn K, Hongnaparak T, Tangtrakulwanich B (2016) A randomised controlled trial comparing skin closure in total knee arthroplasty in the same knee: nylon sutures versus skin staples. Acta Chir Orthop Traumatol Cech 81:233–237 Hlubek R, Walder P, Kánˇa J, Salounová D (2014) Metal staples versus conventional suture for wound closure in total knee arthroplasty. Shantz JA, Vernon J, Leiter J, Morshed S, Stranges G (2012) Sutures versus staples for wound closure in orthopaedic surgery: a randomised controlled trial. Knee 7:239–243Įdlich RF, Becker DG, Thacker JG, Rodeheaver GT (1990) Scientific basis for selecting staple and tape skin closures. subcuticular vicryl skin closure in knee replacement surgery: a spectrophotographic assessment of wound characteristics. Graham DA, Jeffery JA, Bain D, Davies P, Bentley G (2000) Staple vs. ![]() Smith TO, Sexton D, Mann C, Donell S (2010) Sutures versus staples for skin closure in orthopaedic surgery: meta-analysis. Shetty AA, Kumar VS, Morgan-Hough C et al (2004) Comparing wound complication rates following closure of hip wounds with metallic skin staples or subcuticular vicryl suture: a prospective randomised trial. Vince KG, Abdeen A (2006) Wound problems in total knee arthroplasty. Livesey C, Wylde V, Descamps S, Descamps S, Estela CM, Bannister GC, Learmonth ID, Blom AW (2009) Skin closure after total hip replacement: a randomised controlled trial of skin adhesive versus surgical staples. Patel RM, Cayo M, Patel A, Albarillo M, Puri L (2012) Wound complications in joint arthroplasty: comparing traditional and modern methods of skin closure. 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. ResultsĪ significant between-group difference was found for surgery time ( p = .041) and VNRS for pain ( p < .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. 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. MethodsĪ total of 61 patients underwent different operations in the fore-, mid-, and hindfoot areas, which were performed by a single surgeon. 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. 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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