Sutures versus staples for skin closure in orthopaedic surgery: meta-analysis

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Sutures versus staples for skin closure in orthopaedic surgery: meta-analysis

OBJECTIVE To compare the clinical outcomes of staples versus sutures in wound closure after orthopaedic surgery. DESIGN Meta-analysis. DATA 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. Additional studies were identified from cited references. Selection criter...

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Comparing sutures versus staples for skin closure after orthopaedic surgery: systematic review and meta-analysis

OBJECTIVE To determine whether there still remains a significant advantage in the use of sutures to staples for orthopaedic skin closure in adult patients. DESIGN Systematic Review/ Meta-Analysis. DATA SOURCES MEDLINE-OVID, EMBASE-OVID, CINAHL and Cochrane Library. Grey and unpublished literature was also explored by searching: International Clinical Trial Registry, Grey Matters BIOSIS Prev...

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Sutures versus staples for wound closure in orthopaedic surgery: a pilot randomized controlled trial

BACKGROUND In the spectrum of surgical decision-making, wound closure material is often an afterthought. However, the findings of a recent meta-analysis suggest that the rate of surgical site infections (SSIs) is increased by using staples to close surgical wounds. Less clear is the effect of closure material on the incidence of non-infectious wound complications.The aim of this study was to co...

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Sutures versus staples for wound closure in orthopaedic surgery: a randomized controlled trial

BACKGROUND A recently published meta-analysis comparing metallic staples to sutures in orthopaedic procedures revealed three fold increase in risk for infection in stapled wounds. The studies included in the meta-analysis are at risk of bias due to experimental design limitations. A large randomized controlled trial is proposed to direct orthopaedic surgeons in their choice of wound closure mat...

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A randomised controlled trial comparing skin closure in total knee arthroplasty in the same knee: nylon sutures versus skin staples

OBJECTIVES Nylon sutures and skin staples are used commonly in total knee arthroplasty (TKA) surgical wound closure. However, there is no study that compares the wound healing efficacy and patient satisfaction scores of both techniques in the same knee. METHODS We randomised 70 patients who underwent primary TKA into two groups. In one group of 34 patients, the skin at the upper half of the w...

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ژورنال

عنوان ژورنال: BMJ

سال: 2010

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.c1199