A comparison of three methods of skin closure following repair of Achilles tendon rupture |
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| Institution: | 1. Department of Orthopaedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul, 08308, Republic of Korea;2. Department of Orthopaedic Surgery, Korea University Ansan Hospital, 123 Jeokgeum-ro, Danwon-gu, Ansan, 15355, Republic of Korea;1. Department of Occupational Therapy and Physiotherapy, Aalborg University Hospital, Aalborg, Denmark;2. Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark;1. Department of Orthopaedic Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Republic of Korea;2. Department of Orthopaedic Surgery, Pusan National University Hospital, Busan, Republic of Korea;1. Research Fellow, Department of Orthopaedics and Trauma Surgery, Flinders Medical Centre, Flinders University, Adelaide, Australia;2. Flinders Medical Centre, Department of Orthopaedics and Trauma Surgery, Adelaide, Australia;3. Flinders Medical Centre, Flinders University, Adelaide, Australia;4. Academisch Medisch Centrum Amsterdam, University of Amsterdam, The Netherlands;5. Slotervaart Hospital, Amsterdam, The Netherlands;6. Postdoc Fellow, Deparment of Orthopaedic Surgery, Academisch Medisch Centrum Amsterdam, The Netherlands;7. Orthopaedic Trauma Fellow, Flinders Medical Centre, Adelaide, Australia;8. Associate Professor, Flinders University, Adelaide, Australia;9. Consultant Orthopaedic Surgeon, Department of Orthopaedics and Trauma Surgery, Flinders Medical Centre, Adelaide, Australia;10. Professor of Orthopaedics and Trauma Surgery, Flinders University, Adelaide, Australia;1. Orthopaedics Institute, Tianjin Hospital, Tianjin, 300050, People’s Republic of China;2. Department of Traumatic Orthopaedics, Tianjin Hospital, Tianjin, 300211, People’s Republic of China;1. University Hospitals Leuven, Department of Trauma Surgery, B-3000 Leuven, Belgium;2. KU Leuven - University of Leuven, Department of Development and Regeneration, B-3000 Leuven, Belgium;3. KU Leuven - University of Leuven, Faculty of Medicine, B-3000 Leuven, Belgium |
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| Abstract: | Meticulous skin closure is required to avoid wound problems after Achilles tendon surgery. The purpose of our study was to compare postoperative complication rate, operation time, clinical outcome and patient satisfaction with the wound among two topical skin adhesives (2-octyl cyanoacrylate and n-butyl cyanoacrylate) and conventional nylon skin sutures in Achilles tendon repair surgery. We retrospectively reviewed the records 122 consecutive patients (40 patient in nylon skin suture, 43 patients in 2-octyl cyanoacrylate and 39 patients in n-butyl cyanoacrylate) who underwent surgical repair for acute Achilles tendon rupture between 2012 and 2016. The primary outcome measure was the development of complications in the wound. Secondary outcome measures included the operative time, the Achilles Tendon Total Rupture Score (ATRS) and patient satisfaction with the wound. There was no difference in complication rate in the wound (p = 0.694) and in ATRS (p = 0.824) among patients in the three groups. Mean operative time in nylon skin suture group was significantly longer than in the 2-octyl cyanoacrylate group and n-butyl cyanoacrylate group (p = 0.018 and p = 0.002, respectively). Patient satisfaction in the 2-octyl cyanoacrylate and n-butyl cyanoacrylate groups was significantly higher than in the nylon skin suture group (p = 0.015 and 0.018, respectively). The use of 2-octyl cyanoacrylate and n-butyl cyanoacrylate topical skin adhesives for skin closure following repair of Achilles tendon rupture has equivalent effectiveness and safety compared to conventional nylon skin suture, but higher patient satisfaction. Despite its higher cost, these topical skin adhesives are viable alternatives for wound closure in patients who regard cosmetic outcomes as important. |
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| Keywords: | Topical skin adhesive 2-Octyl cyanoacrylate Nylon skin suture Achilles tendon rupture |
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