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Postoperative Outcomes of Absorbable versus Nonabsorbable Sutures in Trigger Finger Release Closure: A Systematic
Bayan A Ghalimah1, Danah O Sandaqji2, Isra'a Abdulaziz Alzahrani3
1From the Orthopedic Surgery Department, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Plastic and Reconstructive Surgery. Global Open
|June 30, 2026
Summary
Nonabsorbable sutures increased wound dehiscence risk after trigger finger release surgery. However, they showed fewer overall wound complications in sensitivity analysis, indicating a need for more research on optimal suture choice.
Area of Science:
- Orthopedic Surgery
- Wound Healing
- Surgical Materials
Background:
- Trigger finger (TF) release is effective for refractory cases.
- Optimal suture material for skin closure after TF release is unclear.
- This study compares absorbable vs. nonabsorbable sutures for TF release outcomes.
Purpose of the Study:
- To compare postoperative outcomes of absorbable versus nonabsorbable sutures following trigger finger release.
- To evaluate wound complications, functional outcomes, and patient satisfaction based on suture type.
Main Methods:
- Systematic review and meta-analysis following PRISMA guidelines.
- Included 5 studies comparing absorbable and nonabsorbable sutures in TF release.
- Meta-analysis performed using RevMan 5.3; significance set at P < 0.05.
Main Results:
- Nonabsorbable sutures had significantly higher odds of wound dehiscence (OR: 2.83, P=0.02).
- Nonabsorbable sutures showed trends towards higher surgical site infection and antibiotic use, but not statistically significant.
- Overall wound complications were significantly less frequent with nonabsorbable sutures in sensitivity analysis (OR: 0.42, P=0.004).
Conclusions:
- Nonabsorbable sutures are linked to increased wound dehiscence risk but decreased overall wound complications in sensitivity analysis.
- Findings suggest a complex interplay between individual wound outcomes and suture type.
- Further high-quality studies are needed to guide optimal suture selection for trigger finger release.
