Evaluation of Infection in Nylon and Staple Sutured Wounds in Surgeries of Intertrochanteric Femoral Fractures
Journal of Clinical Physiotherapy Research,
Vol. 7 No. 2 (2022),
3 Farvardin 2022
,
Page e60
https://doi.org/10.22037/jcpr.v7i2.38835
Abstract
Introduction: Infection of surgical wounds is an important complication that delays recovery and the length of hospital admission. This study aimed to determine the infection rate in intertrochanteric femoral fracture surgeries by two methods of closure with nylon thread or staple. Materials &Methods: This retrospective cross-sectional study was conducted on 123 male and 77 female patients in Kosar Hospital, Semnan, Iran. In this study, patients who underwent intertrochanteric femoral fracture surgery via the dynamic hip screw (DHS) technique between 2017 and 2019 were participated voluntary. Demographic information, surgical complications, and infection history were extracted from the files and recorded in the data collection form. Data were analyzed by sing SPSS20 software through by chi-square, Fisher's exact test, 2-tailed t-test, and logistic regression. Results: in this study 61.5% of patients were male and 38.5% were female. The type of suture in 100 patients (50%) was a staple and in 100 patients (50%) was a nylon thread. A surgical complication was observed in 51 patients (25.5%) as inflammation, in 1 patient (0.5%) as serous secretion, and 3 patients (1.5%) as inflammation and serous secretion simultaneously, while145 patients (72.5%) developed no complications. There was no significant difference between gender, age, and underlying disease with suture type (staple and nylon suture) (P>0.05). The incidence of complications in the nylon group was 20% compared to the staple group (35%). There was a statistically significant difference between surgical complications with patients' suture type (P<0.05). Conclusion: Nylon thread sutures as a technique for surgical site wound closure in intertrochanteric femoral fracture surgeries, have more favorable results compared to staples due to lower complication rate and surgical site infection.
- Wound infection, Proximal of femur, Fracture, Suture, Staple
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