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Rates of complications in Achilles tendon rupture repair using absorbable and nonabsorbable suture material; A systematic review |
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| Institution: | 1. Midland Regional Hospital Tullamore, Arden Rd, Puttaghan, Tullamore, Co. Offaly, R35 NY51, Ireland;2. University College Dublin, Belfield, Dublin 4, Ireland;3. National Orthopaedic Hospital Cappagh, Cappagh Rd, Cappoge, Dublin 11, D11 EV29, Ireland;1. Department of Orthopaedic Surgery & Traumatology II, Mohamed V Military Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Rabat 10100, Morocco;2. Department of Anatomopathology, Mohamed V Military Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Rabat 10100, Morocco;1. Istanbul University Cerrahpasa Medical School, Department of Orthopedics and Traumatology, Istanbul, Turkey;2. Bower Hospital, Diyarbak?r, Turkey;1. Tasmanian Health Service - South, Podiatry Department, GPO Box 1061, Hobart, Tasmania, 7001, Australia;2. College of Health and Medicine, University of Tasmania, Private Bag 34, Hobart, Tasmania, 7000, Australia;3. College of Health Sciences, Massey University, PO Box 765, Wellington, 6140, New Zealand;4. Sydney Local Health District – Concord Repatriation General Hospital, Hospital Road, Concord, New South Wales, 2139, Australia |
| Abstract: | BackgroundThe impact of suture type on tensile strength, re-rupture rates and infection risk in Achilles tendon rupture repair is not been well established. The aim of this review is to evaluate existing literature on the associated risk of postoperative infection with absorbable and non-absorbable suture materials in Achilles tendon rupture repair.MethodsA systematic review of search databases PubMed; Google Scholar; and OVID Medline was made to identify studies related to complications associated with Achilles tendon rupture repair. PRISMA guidelines were utilised for this review. Meta-analysis was used to compare rupture rates and infections following rupture repair.Results12 studies with a total of 460 patients, 230 in both nonabsorbable and absorbable suture groups were included for analysis. Risk of wound complications was significantly higher in patients with non-absorbable sutures (p < 0.001).ConclusionNonabsorbable braided sutures is associated with the highest risk of postoperative wound complications following Achilles tendon rupture repair. |
| Keywords: | Achilles tendon rupture Suture Absorbable Non-absorbable Braided sutures Infection rates |
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