Comparative Study Between Coaptive Film Versus Suture For Wound Closure After Long Bone Fracture Fixation
Journal Title: Malaysian Orthopaedic Journal - Year 2013, Vol 7, Issue 1
Abstract
Background: Coaptive film (i.e., Steri-StripsTM) is an adhesive tape used to replace sutures in wound closure. The use of coaptive film for wound closure after long bone fracture fixation has not been well documented in the literature. Methods: The aim of this prospective, randomized controlled trial comparing coaptive film with sutures for wound closure after long bone fracture fixation was skin closure time, incidence of wound complications and scar width at 12 week follow-up. Forty-five patients underwent femur fracture fixation (22 patients’ wound closed with sutures, 23 with coaptive film). Results: The mean time for skin closure using coaptive film was 171.13 seconds compared to 437.27 seconds using suture. The mean wound lengths in the coaptive film group and suture group were 187.65 mm and 196.73 mm, respectively. One patient in each group had wound complications. Conclusion: Coaptive film is a time-saving procedure for skin closure following long bone fracture fixation. There is no difference in the incidence of wound complications and scar width between these two methods of skin closure.
Authors and Affiliations
IM Anuar Ramdhan, W Zulmi, AN Hidayah, MJM Kamel, MSM Fadhil, M Anwar Hau
Prepubertal Presentation of Solitary Osteochondroma of Thoracic Spine – A Case Report
An 11-year-old boy presented with an insidious onset, gradually progressive, painless swelling in upper back region that grew over the past 7 years. Spinal examination revealed a paraspinal globular mass on the left side...
Post-implantation Deformation of Titanium Rod and Cobalt Chrome Rod in Adolescent Idiopathic Scoliosis
Introduction: Post-implantation rod deformation is anticipated in scoliosis surgery but the difference in rod deformation between titanium and cobalt chrome rod has not been elucidated. This study aims to compare the dif...
A Comparison Between Subvastus and Midvastus Approaches for Staged Bilateral Total Knee Arthroplasty: A Prospective, Randomised Study
This prospective randomised study was undertaken to compare surgical parameters as well as clinical and radiological outcomes of subvastus (SV) to midvastus (MV) approaches in staged bilateral total knee arthroplasty (TK...
Paediatric Femur Fractures: A Plea for Minimally Invasive Surgery to Prevent Osteomyelitis
Osteomyelitis in our two patients may have been prevented by using minimally invasive techniques. We recommend that pediatric femur fractures requiring surgery be treated using flexible nails, submuscular plating or exte...
Tachdjian’s Pediatric Orthopaedics: from the Texas Scottish Rite Hospital for Children
This is a two-volume book with the complete three-volume digital version available online. The online access via expertconsult.inkling.com requires a user name and password. The hard copy has 34 chapters. Chapters 35 to...