Single interrupted sutures compared with Donati sutures after open carpal tunnel release: A prospective randomised trial

Mireille Bolster* (Corresponding Author), Carlijn Schipper, Steven Van Sterkenburg, Mike Ruettermann, Michel Reijnen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Scopus)

Abstract

Inversion of the wound edges is one of the potential causes of postoperative scar tenderness after open carpal tunnel release. When using vertical mattress sutures (also named Donati sutures), inversion of wound edges is less likely to occur compared with single interrupted sutures. The purpose of this study was to compare the use of both sutures after open carpal tunnel release and assess their effects on scar tenderness and functional outcome. A prospective randomised controlled trial was performed comparing single interrupted and Donati sutures. Eighty-nine hands were included in the study. Eight weeks postoperatively, scar formation was nice/very nice in 94% (single stitches) and 97% (Donati stitches) of the patients. Pain and disability scores were, in both groups, improved 8 weeks postoperatively, although the patients receiving Donati sutures had a 2-fold higher pain score. In conclusion, both Donati and single stitches are related to excellent scar formation. The Donati sutures are related to more prolonged postoperative pain.

Original languageEnglish
Pages (from-to)289-291
Number of pages3
JournalJournal of Plastic Surgery and Hand Surgery
Volume47
Issue number4
DOIs
Publication statusPublished - 1 Sep 2013
Externally publishedYes

Keywords

  • Carpal tunnel syndrome
  • Donati sutures
  • Median nerve
  • Release
  • Scar
  • Single interrupted sutures

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