title: Comparing wound complication rates following closure of hip wounds with metallic skin staples or subcuticular vicryl suture: a prospective randomised trial.
abstract: OBJECTIVE
  To compare 2 methods of wound closure-metallic staples or 3-0 undyed vicryl-according to postoperative wound complication rates.
  
  
  METHODS
  Patients who underwent surgery for proximal femoral fractures were randomised to have wound closure with metallic staples or with subcuticular vicryl suture. Wounds were regularly examined postoperatively and only those with positive wound swabs were regarded as wound infections.
  
  
  RESULTS
  Five infections and one superficial wound dehiscence occurred in the patients who had wound closure with metallic staples. The complication rate was significantly higher for this group compared with the group who had wound closure with subcuticular vicryl suture (p<0.025).
  
  
  CONCLUSIONS
  Superficial wound complication rates are higher for wounds closed with metallic staples compared to wounds closed with subcuticular vicryl.
authors.affiliation: Department of Orthopaedics and Trauma, Kent and Sussex Hospital, Tunbridge Wells, Kent, United Kingdom. aashetty@hotmail.com
authors.forename: A A
authors.initials: AA
authors.lastname: Shetty
authors.forename: V S
authors.initials: VS
authors.lastname: Kumar
authors.forename: C
authors.initials: C
authors.lastname: Morgan-Hough
authors.forename: G A
authors.initials: GA
authors.lastname: Georgeu
authors.forename: K D
authors.initials: KD
authors.lastname: James
authors.forename: J E
authors.initials: JE
authors.lastname: Nicholl
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009779:Occlusive Dressings; D011098:Polyglactin 910; D011446:Prospective Studies; D013528:Surgical Staplers; D013529:Surgical Wound Dehiscence / Q000453:epidemiology* / Q000517:prevention & control; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000517:prevention & control; D013536:Suture Techniques; D006113:United Kingdom / Q000453:epidemiology
chemical_list: D011098:Polyglactin 910