A prospective randomised trial of absorbable versus non-absorbable sutures for wound closure after fasciectomy for Dupuytren’s contracture

After fasciectomy for Dupuytren’s contracture the wound has traditionally been closed with non-absorbable sutures. A prospective randomised study of 59 patients was undertaken to compare wound closure after fasciectomy with irradiated polyglactin 910 absorbable sutures and non-absorbable sutures. Th...

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Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2009-10, Vol.34 (5), p.618-620
Main Authors: HOWARD, K., SIMISON, A. J. M., MORRIS, A., BHALAIK, V.
Format: Article
Language:English
Subjects:
Absorbable Implants
Biological and medical sciences
Diseases of the osteoarticular system
Dupuytren Contracture - surgery
Fasciotomy
Follow-Up Studies
Humans
Juxtaarticular diseases. Extraarticular rhumatism
Medical sciences
Polyglactin 910
Polypropylenes
Prospective Studies
Suture Techniques
Sutures
Time Factors
Treatment Outcome
Wound Healing
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Summary:After fasciectomy for Dupuytren’s contracture the wound has traditionally been closed with non-absorbable sutures. A prospective randomised study of 59 patients was undertaken to compare wound closure after fasciectomy with irradiated polyglactin 910 absorbable sutures and non-absorbable sutures. The outcomes studied were: time spent attending to the wound at the first postoperative visit; the patient’s pain score at that visit; and any complications. Wound care required significantly more time when non-absorbable sutures were used. There was no significant difference in pain scores or in complications between the two groups. We recommend the use of irradiated polyglactin 910 absorbable sutures for wound closure after fasciectomy as it saves time and resources without compromising wound healing.
ISSN:1753-1934
2043-6289
DOI:10.1177/1753193409105728