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Journal of Hand Surgery (European Volume)
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Articles

A prospective randomised trial of absorbable versus non-absorbable sutures for wound closure after fasciectomy for Dupuytren’s contracture

K. HOWARD
A. J. M. SIMISON
A. MORRIS
V. BHALAIK

From the Orthopaedic Department, Arrowe Park Hospital, Upton, Wirral, Merseyside, UK

Correspondence: Ms Kim Howard, RGN, Dip HE, Ortho tech cert, BSc(hons), Orthopaedic Department, Arrowe Park Hospital, Arrowe Park Road, Upton, Wirral, Merseyside CH49 5PE, UK. Tel.: +44 (0)151 334 4000 x4328; fax +44 (0)151 482 7901. E-mail:kim.howard{at}whnt.nhs.uk.

After fasciectomy for Dupuytren’s contracture the wound has traditionally been closed with non-absorbable sutures. A prospective randomised study of 59 patients was undertaken to compare wound closure after fasciectomy with irradiated polyglactin 910 absorbable sutures and non-absorbable sutures. The outcomes studied were: time spent attending to the wound at the first postoperative visit; the patient’s pain score at that visit; and any complications. Wound care required significantly more time when non-absorbable sutures were used. There was no significant difference in pain scores or in complications between the two groups. We recommend the use of irradiated polyglactin 910 absorbable sutures for wound closure after fasciectomy as it saves time and resources without compromising wound healing.

Key Words: Dupuytren’s disease • wound closure • absorbable suture • non-absorbable suture

This version was published on October 1, 2009

Journal of Hand Surgery (European Volume), Vol. 34, No. 5, 618-620 (2009)
DOI: 10.1177/1753193409105728
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