Wound Complications of Rapide Vs Nylon Sutures in Foot and Ankle Surgery.

Abstract

BackgroundNylon sutures are the most commonly used sutures for closing surgical wounds and require a postoperative suture removal visit. Absorbable sutures improve patient satisfaction by circumventing these visits. The primary aim of this study is to analyze wound complication rates related to wound closure using nylon and polyglactin 910 (Vicryl Rapide, Ethicon, Cincinnati, Ohio) sutures in foot and ankle surgery.MethodsA retrospective cohort study was performed at an academic medical center between 2014 and 2020. Patients over 18 years old who underwent foot and ankle surgery with polyglactin 910 or nylon sutures were included in the study. Exclusion criteria included type I or II diabetes, active pregnancy, incarceration, and pre-existing infection. Patient demographic data, operation performed, and follow-up complications were collected for review. Descriptive statistics, bivariate logistic regression, data normalcy, and appropriate tests of significance were used to compare the rate of postoperative surgical site infections (SSIs) and wound dehiscence across the 2 groups.ResultsA total of 1242 patients met our criteria: 863 were closed with nylon sutures (69.5%) and 378 with polyglactin 910 (30.5%). There was no difference between wound complications (3.18% vs 3.69%, P = .645), wound dehiscence (1.35 vs 2.82%, P = .122), or unplanned return to operating room (infection 1.08 vs 0.587%, P = .353 and dehiscence, 0.811 vs 1.52%, P = .314) between suture types.ConclusionThis study demonstrates no significant difference in wound complication rates after foot and ankle operations between those closed with polyglactin 910 and nylon sutures. With the potential benefits to clinic efficiency and decreased patient burden with absorbable suture use, this suggests a role for polyglactin 910 suture closures in foot and ankle surgery.Level of Evidence:Level III.