Randomized controlled trial comparing outcome of use of staples and nylon sutures for closure in elective orthopedic surgery
Background: Wound complications are one of the major sources of morbidity after orthopaedic procedures and can prolong the inpatient stay or lead to re-admission. The most commonly used methods for skin closure after orthopaedic surgery are metal staples or nylon sutures Both methods act to hold the skin edges together while healing occurs. Metal staples are said to be superior as they are regarded as quicker as and easier than sutures.
Objective: To compare outcome of use of staples and nylon sutures for wound closure in elective orthopedic surgery in term of infection rate,cosmetic appearance(Scar), time taken for skin closure.
Methods: It is randomised controlled trial done on patients undergoing elective orthopaedic surgery at department of Orthopaedics at BPKIHS were included in the study. During procedure patients were evaluated for time taken for suture application or any complications.
Results: A total of 60 patients (38 male and 22 female) were included in the study. Twenty two patients were between 41-55 years age group followed by fifteen patients between 25-40 yrs, twelve patients less than 25 age group and eleven patients more than 55 years. The average blood loss is 5 ml in K-wire group and 145 ml in plate group. The procedure time is 33 mins as comprared to 53 mins in plate group.
Conclusion: Metal staples are superior as they are regarded as quicker and easier than nylon sutures. But use of metal staples or clips has a greater risk of wound infection and less acceptable cosmetically than sutures. Metal staples are more expensive.
Health Renaissance 2015;13 (3): 137-143
Copyright Transfer Statement:
(Must be submitted with the manuscript)
The copyright to this article is transferred to The Editorial Board of the Health Renaissance effective if and when the article is accepted for publication by the journal. However, both users and authors have the right to distribute a fair quantity of an article for academic purpose.
The published articles may be made available online (http://nepjol.info/index.php/HREN/index, and any other website) for free access at the discretion of the Editorial Board.
We undersigned declare that below-mentioned manuscript has been read by all authors/co-authors and warrant that this contribution is original, has not been published elsewhere and is currently not under consideration for publication by any other journal. If accepted for publication in Health Renaissance, it will not be published elsewhere in whole or in part without the Chief Editor’s written permission.
Please complete the form found at: and either post or email the scanned copy of the form to:
The Chief Editor
BPKIHS, Dharan, Sunsari, Nepal
© Copyright: B.P. Koirala Institute of Health Sciences, Dharan, Nepal. No part of this journal can be reproduced, stored or transmitted in any manner, in any form, or for any purpose, without a prior written approval of the editorial board.