Surgical Site Wound Infection Rates of Polypropylene Suture Versus Metallic Skin Staples in Orthopedic Skin Wound Closure

Inam M, Khattak M, Khan I* and Shabir M

Department of Orthopedic and Trauma, Medical Teaching Institute Lady Reading Hospital, Pakistan

^*Correspondance to: Imran Khan 

 PDF  Full Text DOI: 10.25107/2474-1647.3651

Abstract

Introduction: In orthopedic surgery the common material or methods which are used for surgical site wound closure are metallic skin staples and polypropylene. But complications of surgical site prolong the hospital stay frequent hospital admission and limiting physical mobility. Objective: To determine the frequency of surgical site infection in orthopedic surgery between metallic staples and polypropylene sutures. Materials and Methods: This Randomized Controlled Trial (RCT) study is an approved dissertation of the College of Physicians and Surgeon Pakistan conducted in Department of Orthopedics, Medical Teaching Institute Lady Reading Hospital, Peshawar from October 2020 to April 2022 in which total of 306 (153 in each group) patients were observed to determine the frequency of surgical site wound complication rates in orthopedic wound closures between metallic skin staples and polypropylene sutures. Sampling technique was non-probability consecutive sampling. Results: In this study age distribution among 306 patients was analyzed as n=6 to 8 years 26 (33.3%) 8 to 10 years 23 (29.5%) 10 to 12 years 29 (37.2%). Mean age was 7.1 years with SD ± 2.87. Gender wise distribution among 306 patients was analyzed as male were 154 (50.3%) and female were 152 (49.7%). Distribution of the duration of disease among 306 patients were analyzed as n=1 to 2 weeks was 231 (75.5%) and 3 to 4 weeks was 154 (50.3%). Distribution of BMI among 306 patients were analyzed as n= below 18.5 underweight was 122 (39.9%) 18.5 to 24.9 normal weight was 50 (16.3%) 25.0 to 29.9 pre-obesity was 84 (27.5%) 30.0 to 34.9 obesity class was 50 (16.3%). Comparison of pin tract infection among group wise distribution were analyzed as n= In group (A) Yes was 18 (11.8%) and No was 135 (88.2%). In group (B) Yes was 44 (28.8%) and No was 109 (71.2%). Conclusion: Surgical site infection is increased when the wound is closed with staples rather than sutures. In major surgeries like hemiarthroplasty or total hip arthroplasty the infection rate has greater chance to developed with staple than suture. So, the staples may not be recommended for hip surgery.

Keywords

Complication; Closures; Metallic skin staples; Polypropylene sutures; Surgical site infection

Cite the article

Inam M, Khattak M, Khan I, Shabir M. Surgical Site Wound Infection Rates of Polypropylene Suture Versus Metallic Skin Staples in Orthopedic Skin Wound Closure. Clin Surg. 2023; 8: 3651.