Subcuticular Sutures Outperform Staples in Early Wound Healing After Minimally Invasive Anterolateral Total Hip Arthroplasty.

Thomas Stumpner, Jakob Wallner, Martin Bischofreiter, Michael S Gruber, Harald Kindermann, Reinhold Ortmaier

Abstract read

In one paragraph

Article in Arthroplasty today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Thomas StumpnerDepartment of Orthopedic Surgery, Ordensklinikum Barmherzige Schwestern, Linz, Austria, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Department of the Paracelsus Medical University Salzburg, Austria.

Jakob WallnerMedical Faculty, Johannes Kepler University, Linz, Austria.

Martin BischofreiterDepartment of Orthopedic Surgery, Ordensklinikum Barmherzige Schwestern, Linz, Austria, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Department of the Paracelsus Medical University Salzburg, Austria.

Michael S GruberDepartment of Orthopedic Surgery, Ordensklinikum Barmherzige Schwestern, Linz, Austria, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Department of the Paracelsus Medical University Salzburg, Austria.

Harald KindermannDepartment of Marketing and Electronic Business, University of Applied Sciences Upper Austria, Steyr, Austria.

Reinhold OrtmaierDepartment of Orthopedic Surgery, Ordensklinikum Barmherzige Schwestern, Linz, Austria, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Department of the Paracelsus Medical University Salzburg, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Wound complications remain a major concern after total hip arthroplasty (THA), as they delay mobilization, prolong hospitalization, and increase infection risk. Evidence on wound closure for the minimally invasive anterolateral approach is limited. Therefore, this study compared skin stapling and subcuticular suture closure regarding early wound healing and scar quality after minimally invasive anterolateral THA. Methods: A total of 583 consecutive patients undergoing short-stem THA via minimally invasive anterolateral approach were retrospectively analyzed. All procedures used identical implants, perioperative protocols, and wound management. Procedures differed only in skin closure, using either staples or absorbable subcuticular sutures. Primary outcome was early wound condition, defined by secretion, erythema, and time until the wound was considered unremarkable. Secondary outcomes included revision for wound complications, early implant revision, length of hospital stay, and scar quality. Results: Use of subcuticular sutures resulted in a significantly shorter duration of erythema ( Conclusions: Subcuticular suture closure was associated with improved early wound healing and earlier hospital discharge after minimally invasive anterolateral THA. These findings suggest a potential advantage which should be further evaluated in prospective randomized trials.

Indexed as

AnterolateralHip arthroplastyMinimally invasiveSkin closureStapleSuture

Identifiers

PMID42597885

DOI10.1016/j.artd.2026.102099

PMCPMC13469821

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LicenceCC BY-NC-ND

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