Abstract
A prospective randomised trial was conducted to compare the use of skin clips versus interrupted nylon sutures in uncomplicated orthopaedic wound closure. Non-blinded wound assessment for complications and outcome (cosmesis) was performed on day 13 when the clips/sutures were removed. Average time for removal of each clip/suture was calculated for each wound. Also, an assessment of patient pain during removal was made using a patient-completed visual analogue scoring system (VAS). No statistically significant difference was found in wound healing and cosmesis between the clip and suture group at follow-up. Clip removal with the special clip remover was found to be quicker and less painful (p=0.001). There was good patient satisfaction with the use of skin clips over nylon sutures. We recommend the use of skin clips, using an assistant to evert the wound edges, as an efficient form of wound closure in most uncomplicated orthopaedic procedures.
Résumé
Une étude prospective randomisée a été menée pour comparer la fermeture cutanée en chirurgie orthopédique non compliquée par agrafage et par points séparés. Une évaluation évidemment pas en double aveugle fut effectuée au 13ème jour après de l’ablation des agrafes ou des fils. Le délai moyen d’ablation des agrafes ou des fils fut calculé pour chaque type de plaie. Une évaluation visuelle analogique fut effectuée également par les patients. Aucune différence statistiquement significative fut trouvée entre les deux types de fermeture. L’ablation des agrafes avec l’instrument adéquat fut estimée moins douloureuse par les patients (p=0,001). Il y eut une bonne appréciation des patients pour les agrafes par rapport à la fermeture par fils de nylon. Nous recommandons la fermeture cutanée par agrafes avec aide par un assistant pour éverser les lèvres de la plaie ; il s’agit d’une méthode efficace et sans complications en chirurgie orthopédique.
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Murphy, M., Prendergast, P. & Rice, J. Comparison of clips versus sutures in orthopaedic wound closure. Eur J Orthop Surg Traumatol 14, 16–18 (2004). https://doi.org/10.1007/s00590-003-0121-2
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DOI: https://doi.org/10.1007/s00590-003-0121-2