Though we advise orthopaedic surgeons to reconsider their use of staples for wound closure, definitive randomised trials are still needed to assess this research question. The use of staples for closing hip or knee surgery wounds after orthopaedic procedures cannot be recommended, though the evidence comes from studies with substantial methodological limitations. This risk is specifically greater in patients who undergo hip surgery. Only one study had acceptable methodological quality.Ĭonclusions After orthopaedic surgery, there is a significantly higher risk of developing a wound infection when the wound is closed with staples rather than sutures. The included studies had several major methodological limitations, including the recruitment of small, underpowered cohorts, poorly randomising patients, and not blinding assessors to the allocated methods of wound closure. There was no significant difference between sutures and staples in the development of inflammation, discharge, dehiscence, necrosis, and allergic reaction. On subgroup analysis of hip surgery alone, the risk of developing a wound infection was four times greater after staple closure than suture closure (4.79, 1.24 to 18.47 P=0.02). The risk of developing a superficial wound infection after orthopaedic procedures was over three times greater after staple closure than suture closure (relative risk 3.83, 95% confidence interval 1.38 to 10.68 P=0.01). Results Six papers, which included 683 wounds, were identified 332 patients underwent suture closure and 351 staple closure. Heterogeneity was assessed with I 2 and χ 2 statistical test. Relative risk and mean difference with 95% confidence intervals were calculated and pooled with a random effects model. The primary outcome measure was the assessment of superficial wound infection after wound closure with staples compared with sutures. Final data for analysis were collated through consensus. Review methods Two authors independently reviewed studies for methodological quality and extracted data from each paper. All studies were included, and publications were not excluded because of poor methodological quality. Included studies were randomised and non-randomised controlled trials that compared the use of staples with suture material for wound closure after orthopaedic surgery procedures. Selection criteria Two authors independently assessed papers for eligibility. Additional studies were identified from cited references. Instructions for Application, Cleaning, and CareĬlick here for ordering information.Objective To compare the clinical outcomes of staples versus sutures in wound closure after orthopaedic surgery.ĭata sources Medline, CINAHL, AMED, Embase, Scopus, and the Cochrane Library databases were searched, in addition to the grey literature, in all languages from 1950 to September 2009.2oz (1 oz each part A & B) silicone Wound Bond Adhesive.Two 6.5” silicone appliance wounds, one sutured and one stapled Two 3.5” silicone appliance wounds, one sutured and one stapled. Provide educational experiences for students that are truly interactive, highly retentive, and fun. They are made to be extremely durable, reusable, and easily cleaned. The wounds are extremely detailed including tissue density, color, and subtle skin textures that are almost human. These wounds have been designed and manufactured by Hollywood style Special Make-up Effects Artists with the same materials, manufacturing techniques, and quality used in major motion pictures. The kit comes complete with blood and pus to allow you to create training scenarios of your choice to practice proper techniques for diagnosis, cleaning, and dressing of wounds. These pre-sutured and pre-stapled silicone appliance wounds are designed to be placed directly on your live role player (or mannequin) to simulate the care and treatment of any postoperative procedure. Create the ultimate interactive educational experience for the treatment and care of Sutured and Stapled Wounds.
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