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Skin closure after arthroscopy utilizing a pull-out bow-tie subcuticular suture
Lori Ann Nacius1, Cecilia Pascual-Garrido1, Paul Sagiv1
1Sports Medicine and Hip Preservation Service, Department of Orthopedics University of Colorado, USA.
Background:
suturing techniques employed to close subcuticular surgical incisions are varied.
Purpose:
we present the "bow-tie" stitch, which is removed by pulling one side of the stitch with no need for sharp object stitch cutting. The stitch results in good approximation and scarring while enabling proper oozing.
Methods:
we have used this suture repeatedly for wound closure after hip and knee arthroscopy; its application to other superficial skin closures is easily appreciated.
Results:
this method of skin closure allows for ease of tying for the surgeon, aesthetically pleasing results for the patient, pain-free suture removal, no risk of suture knots becoming embedded in healing tissue, and decreased risk of infection and damage to skin, as instruments are not required for suture removal.
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