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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >A prospective randomized comparison of two skin closure techniques in acetabular fracture surgery
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A prospective randomized comparison of two skin closure techniques in acetabular fracture surgery

机译：髋臼骨折手术中两种皮肤闭合技术的前瞻性随机比较

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Recent publications have shown an infection rate of 5–7 % for acetabular fractures treated with the Kocher-Langenbeck (K-L) approach. Using metallic staples to close hip skin incisions has been considered the gold standard. The purpose of this study was to answer the following: (1) will closure of a K-L incision after acetabular fracture surgery with a running subcuticular monocryl suture, then sealing the wound with 2-octyl cyanoacrylate (OCA), result in a lower infection rate compared to metallic staple closure? (2) Do incisions closed with subcuticular monocryl and OCA exhibit decreased drainage? (3) Is there a cost difference between these two methods? In a prospective clinical study, 103 patients with acetabular fractures treated using the K-L approach were randomized into two groups: skin closure with metallic staples (n = 52) versus subcuticular running monocryl suture sealed with OCA (n = 51). Two postoperative deep infections (4 %) in the staples group required multiple debridements; no infections developed in the OCA group. However, there was no statistical difference between the groups, (p = 0.495). There was a statistically significant difference (p = 0.032) comparing days from surgery to a dry incision favoring OCA (4.2 versus 5.85 days). The patient charge was approximately $900 greater on average in the OCA group due to the increased time in the operating room required for the subcuticular closure. Closure with OCA and subcuticular monocryl showed no clinical disadvantages and appears to have a clinical advantage when compared to standard metallic staple skin closure in acetabular fracture surgery. However, additional patient costs may be incurred. II.
机译：最近的出版物显示，用Kocher-Langenbeck（K-L）方法治疗的髋臼骨折的感染率为5％至7％。使用金属钉来闭合臀部皮肤切口已被认为是金标准。这项研究的目的是为了回答以下问题：（1）将髋臼骨折手术后使用表皮下单侧缝缝线缝合封闭KL切口，然后用氰基丙烯酸2-辛酯（OCA）密封伤口，从而降低感染率与金属钉书钉扣相比？ （2）用表皮下单眼和OCA闭合的切口是否显示引流减少？ （3）两种方法之间是否存在成本差异？在一项前瞻性临床研究中，将采用K-L方法治疗的103例髋臼骨折患者随机分为两组：用金属钉钉闭合皮肤（n = 52）与用OCA密封的表皮下单钉缝合术（n = 51）。吻合钉组有两次术后深部感染（4％）需要多次清创术; OCA组未出现感染。但是，两组之间没有统计学差异（p = 0.495）。从手术后到支持OCA的干切口的天数比较，有统计学上的显着差异（p = 0.032）（4.2天与5.85天）。 OCA组患者的费用平均增加了约900美元，这是由于皮下闭合所需的手术室时间增加了。与髋臼骨折手术中的标准金属钉合皮肤封闭术相比，OCA和皮下硬皮下封闭术没有临床缺点，并且似乎具有临床优势。但是，可能会产生额外的患者费用。二。

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