ArticlePatient safety in surgery2013
Sutures versus staples for wound closure in orthopaedic surgery: a pilot randomized controlled trial.
Article in Patient safety in surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01146236 (Sutures vs Staples for Wound Closure in Orthopaedic Surgery), which is not on this map. Cited by 15 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Sutures vs Staples for Wound Closure in Orthopaedic Surgery: A Randomized Controlled Trial
Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Staples versus sutures for skin closure in hip arthroplasty: a meta-analysis and systematic review.Journal of orthopaedic surgery and research · 2021Pooled it
- Pooled it
- Is the Risk of Infection Lower with Sutures than with Staples for Skin Closure After Orthopaedic Surgery? A Meta-analysis of Randomized Trials.Clinical orthopaedics and related research · 2019Pooled it
- Comparing sutures versus staples for skin closure after orthopaedic surgery: systematic review and meta-analysis.BMJ open · 2016Pooled it
- Occlusive wound closure prevents prolonged wound discharge-A randomised controlled trial in patients undergoing tumour resection and endoprosthetic reconstruction of the proximal femur because of metastatic bone disease.International wound journal · 2023Trial
- A prospective randomized comparison of two skin closure techniques in acetabular fracture surgery.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2014Trial
- Article
- Fixation of the Compressive Dressing for Nipple-areola Complex Graft during Double Incision Chest Contouring Surgery for Assigned-female-at-birth Persons with Diagnosis of Gender Dysphoria: Sutures or Staples?Plastic and reconstructive surgery. Global open · 2023Article
- Wound closure after total knee replacement: Comparison between staples and sutures.Pakistan journal of medical sciences · 2022Article
- Nylon sutures versus skin staples in foot and ankle surgery: is there a clinical difference?Musculoskeletal surgery · 2020Article
- Complication rate of different wound closures after primary hip arthroplasty - A survey of 373 patients.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2018Article
- Comparing Steri-Strip and surgical staple wound closures after primary total knee arthroplasties.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2017Article
- A randomised controlled trial comparing skin closure in total knee arthroplasty in the same knee: nylon sutures versus skin staples.Bone & joint research · 2016Article
- Effects of incision closure method on infection prevalence following tibial plateau leveling osteotomy in dogs.The Canadian veterinary journal = La revue veterinaire canadienne · 2015Article
- Outcomes of staple closure of the donor area during hair transplant by follicular unit transfer.Journal of cutaneous and aesthetic surgery · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 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 compare sutures and staples in terms of: incidence of wound complications to determine the sample size for a definitive trial comparing wound closure methods.
methodsEligible adult orthopaedic patients were randomized to have wounds closed with sutures or staples. Time for skin closure was recorded. Wounds were assessed for complications for six weeks. The incidence of complications was compared using Fisher's exact test. Time to close and pain with removal of closure material were compared using a Student's t-test.
resultsThe total number of patients reporting a wound complication was 59 of 148 patients completing six-week followup (41%), with no differennce between sutures and staples (RR = 0.77, CI = 0.52-1.14). The time to close wounds was shorter in the staple group (mean=4.8 min, CI = 2.6-7.1) than the suture group (mean=12 min, CI = 7.9-16). Patients in the staple group (mean=3.7, CI =2.8-4.6) reported more pain with removal than suture group (mean=2.5, CI =1.6-3.4).
conclusionsThis study suggests that 42% of patients report a wound complication with no difference between sutures and staples. It was demonstrated that suturing skin requires more time and staples are more painful to remove.
trial registrationClinicaltrials.gov identifier NCT01146236 (registered June 14, 2010).
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.