Comparison between suture and staple fixations as internal fixation techniques for Akin osteotomy.

Area of Science:

• Orthopedic surgery
• Surgical techniques
• Biomaterials in medicine

Background:

• Akin osteotomy is a common surgical procedure.
• Suture and staple fixations are widely used for Akin osteotomy.
• Limited unbiased comparative studies exist for these fixation methods.

Purpose of the Study:

• To compare the clinical outcomes of suture fixation versus staple fixation in Akin osteotomy.
• To evaluate the stability, bone union, and complication rates associated with each fixation method.

Main Methods:

• Retrospective comparison of 58 Akin osteotomies using suture fixation and 39 using staple fixation.
• All procedures performed by a single surgeon during the same period.
• Outcomes assessed included bone union, material-related complications, and lateral cortex breakage.

Main Results:

• Complete bone union achieved in all cases, with no material-related complications.
• No significant difference in lateral cortex breakage between suture and staple groups.
• Lateral cortex breakage led to greater instability with staple fixation compared to suture fixation.

Conclusions:

• Suture fixation demonstrates superior stability in Akin osteotomy compared to staple fixation.
• Suture fixation is more cost-effective than staple fixation for Akin osteotomy.
• Suture fixation is recommended over staple fixation for improved outcomes in Akin osteotomy.