Absorbable sutures reduce pain without compromising wound healing in open clinic hand surgery.

IF 3.8 3区医学 Q1 ORTHOPEDICS

Journal of Orthopaedic Surgery and Research Pub Date : 2026-08-22 DOI:10.1186/s13018-026-07159-7

Mirjam Hägg, Cecilia Mellstrand Navarro, Johanna von Kieseritzky

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引用次数: 0

Abstract

Background: This prospective cohort study aimed to compare absorbable and non-absorbable sutures in the context of open clinic hand surgery, focusing on postoperative wound infection, dehiscence, patient-reported pain during dressing or suture removal, and healthcare time utilization during follow-up.

Methods: A total of 270 adult patients undergoing minor hand procedures in an outpatient surgical setting were enrolled. Patients were alternately assigned, on a biweekly basis, to receive either 5-0 polyglactin 910 (Vicryl Rapid®, Ethicon®) or 5-0 monofilament nylon (Ethilon®, Ethicon®) for skin closure. Wounds were assessed at a standardized two-week postoperative follow-up by trained nursing staff. The presence of wound infection or dehiscence was documented. The time required for inspection and dressing, or suture removal was recorded in minutes. Pain during dressing or suture removal was evaluated by patients using a visual analog scale (VAS).

Results: At follow-up, no significant difference was observed in infection rates between the two groups, with one case in each group requiring antibiotic treatment (p = 1.0). Superficial wound dehiscence occurred in 13 patients in the absorbable suture group and 11 in the non-absorbable group (p = 0.390), with no cases requiring reoperation. Median time spent on wound care during the follow-up visit was five minutes in both groups. However, patients in the absorbable suture group reported significantly lower pain scores on the VAS compared to those with non-absorbable sutures (p < 0.001).

Conclusion: Absorbable sutures offer a safe alternative to non-absorbable sutures in outpatient hand surgery, providing equivalent outcomes in terms of wound healing while significantly reducing discomfort during follow-up care. These findings support the use of absorbable sutures as a patient-friendly option in ambulatory hand surgical practice. Trial registration number The study was pre-registered on ClinicalTrials.gov 2021-02-26. (identifier: NCT04812275).

Level of evidence: II.

查看原文本刊更多论文

可吸收缝线减少疼痛而不影响伤口愈合在开放诊所手外科。

背景：本前瞻性队列研究旨在比较开放性手外科手术中可吸收缝线和不可吸收缝线的情况，重点关注术后伤口感染、裂开、患者报告的敷料或拆线时的疼痛以及随访期间的医疗保健时间利用。方法：共有270名在门诊手术环境中接受小手部手术的成年患者被纳入研究。患者每两周交替接受5-0聚乳酸蛋白910 （Vicryl Rapid®，Ethicon®）或5-0单丝尼龙（Ethilon®，Ethicon®）进行皮肤闭合。由训练有素的护理人员在标准化的两周术后随访中评估伤口。记录伤口感染或裂开的存在。检查、包扎或拆线所需的时间以分钟为单位记录。患者使用视觉模拟评分（VAS）评估敷料或拆线时的疼痛。结果：随访时，两组感染率无显著差异，两组各有1例需要抗生素治疗（p = 1.0）。可吸收缝线组创面裂开13例，不可吸收缝线组创面裂开11例（p = 0.390），无再次手术病例。两组随访期间伤口护理的中位时间均为5分钟。然而，与不可吸收缝线组相比，可吸收缝线组患者在VAS上的疼痛评分明显降低(p结论：可吸收缝线在门诊手部手术中提供了一种安全的替代不可吸收缝线的方法，在伤口愈合方面提供了相同的结果，同时显着减少了随访期间的不适。这些发现支持在门诊手外科实践中使用可吸收缝线作为患者友好的选择。该研究已在ClinicalTrials.gov网站上预注册20121-02-26。(标识符:NCT04812275)。证据水平：II。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Orthopaedic Surgery and Research ORTHOPEDICS-

CiteScore

4.10

自引率

7.70%

发文量

494

审稿时长

>12 weeks

期刊介绍： Journal of Orthopaedic Surgery and Research is an open access journal that encompasses all aspects of clinical and basic research studies related to musculoskeletal issues. Orthopaedic research is conducted at clinical and basic science levels. With the advancement of new technologies and the increasing expectation and demand from doctors and patients, we are witnessing an enormous growth in clinical orthopaedic research, particularly in the fields of traumatology, spinal surgery, joint replacement, sports medicine, musculoskeletal tumour management, hand microsurgery, foot and ankle surgery, paediatric orthopaedic, and orthopaedic rehabilitation. The involvement of basic science ranges from molecular, cellular, structural and functional perspectives to tissue engineering, gait analysis, automation and robotic surgery. Implant and biomaterial designs are new disciplines that complement clinical applications. JOSR encourages the publication of multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines, which will be the trend in the coming decades.