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Related Experiment Video

Updated: Sep 28, 2025

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Foot and Ankle Surgical Incision Closure With Three Different Materials.

Daiwei Yao¹, Julian Nachtsheim², Sarah Ettinger²

¹ATOS Orthopedic Clinic Braunfels, Braunfels, Germany; Department of Orthopedic Surgery, Hannover Medical School, Hannover, Germany.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons

|April 4, 2022

Summary

This summary is machine-generated.

In foot and ankle surgery, metallic staples and absorbable sutures are effective wound closure materials, showing no significant differences in complication rates compared to nonabsorbable sutures. Nonabsorbable sutures were associated with increased pain.

Keywords:

ASEPSIS score Hollander Wound Evaluation Scale absorbable sutures metallic staples nonabsorbable sutures wound complication

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Published on: October 6, 2022

Area of Science:

Orthopedic Surgery
Wound Healing
Biomaterials

Background:

Optimal wound closure materials in foot and ankle surgery lack clear recommendations.
Suture materials significantly impact surgical outcomes and patient recovery.

Purpose of the Study:

To compare the clinical outcomes of absorbable sutures, nonabsorbable sutures, and metallic staples for wound closure in foot and ankle surgery.
To evaluate infection rates, wound healing, pain, and patient satisfaction across different closure methods.

Main Methods:

A prospective randomized study involving 124 patients undergoing foot and ankle surgery.
Patients were randomized into three groups: nonabsorbable sutures, absorbable sutures, or metallic staples.
Outcomes assessed included ASEPSIS scores, Hollander Wound Evaluation Scale, pain, satisfaction, closure time, and incision length.

Main Results:

No significant differences were found in ASEPSIS or Hollander Wound Evaluation Scale scores among the three groups.
The nonabsorbable suture group reported significantly more pain at 6 weeks post-surgery.
Metallic staples demonstrated significantly faster closure time (13 s/cm).
Male sex and obesity were identified as risk factors for wound complications, irrespective of closure material.

Conclusions:

Metallic staples and absorbable sutures are viable options for wound closure in foot and ankle surgery, offering comparable complication rates to nonabsorbable sutures.
Nonabsorbable sutures may lead to increased postoperative pain.
Staples offer an efficient closure time, and both staples and absorbable sutures should be considered in surgical practice.