TY - JOUR
T1 - Single interrupted sutures compared with Donati sutures after open carpal tunnel release
T2 - A prospective randomised trial
AU - Bolster, Mireille
AU - Schipper, Carlijn
AU - Van Sterkenburg, Steven
AU - Ruettermann, Mike
AU - Reijnen, Michel
PY - 2013/9/1
Y1 - 2013/9/1
N2 - 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.
AB - 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.
KW - Carpal tunnel syndrome
KW - Donati sutures
KW - Median nerve
KW - Release
KW - Scar
KW - Single interrupted sutures
UR - http://www.scopus.com/inward/record.url?scp=84882800250&partnerID=8YFLogxK
U2 - 10.3109/2000656X.2012.762006
DO - 10.3109/2000656X.2012.762006
M3 - Article
C2 - 23710789
AN - SCOPUS:84882800250
VL - 47
SP - 289
EP - 291
JO - Journal of Plastic Surgery and Hand Surgery
JF - Journal of Plastic Surgery and Hand Surgery
SN - 2000-656X
IS - 4
ER -