Risk of Wound Infection Is Greater After Skin Closure with Staples Than with Sutures in Orthopaedic Surgery

Smith, TO; Sexton, Debbie; Mann, Charles C.; Donell, Simon T.; Syed, Khalid; Gandhi, Rajiv; Davey, J Roderick; Mahomed, Nizar N.

doi:10.2106/jbjs.9216.ebo818

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“…Use of stainless steel surgical staples for skin apposition was discontinued in the revised protocol because of evidence that use of subcuticular skin sutures reduces patient morbidity and postoperative incisional complication rates . This may be a result of elimination of incisional defects between staples that could allow for bacterial migration into deeper tissues or elimination of a nidus for infection in the skin postoperatively .…”

Section: Discussionmentioning

confidence: 99%