Effect of wound closure technique in proximal femoral fractures: A prospective cohort study
Journal of Orthopaedic Trauma Sep 29, 2020
Badres IA, Suen K, Tran P, et al. - Via this prospective cohort study, researchers sought to determine relative outcomes with different wound closure techniques in terms of wound drainage, postoperative length of stay, and complications in patients with proximal femoral fractures, including femoral neck fractures (31A fractures) and peritrochanteric fractures (31B fractures). They assigned a total of 486 consecutive patients receiving surgery for proximal femoral fractures to use either skin staples, monofilament absorbable subcuticular sutures (Monocryl), or, sutures with the addition of 2-octylcyanoacrylate (OCA) (Monocryl and Dermabond) for skin closure according to when the patients entered the study. Outcomes revealed the highest rate of prolonged wound drainage and length of stay in correlation with closure with staples in patients with proximal femoral fractures. The lowest incidence of prolonged wound drainage was observed with subcuticular sutures in combination with OCA.
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