WOUND HEALING WITH INTERRUPTED AS COMPARED TO CONTINUOUS SKIN SUTURES IN CLUBFEET UNDERGOING POSTEROMEDIAL RELEASE

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Abstract

ABSTRACT
Objective: Late presenting club feet is a very common and a major problem in our country. Majority of these deformed
feet require surgical correction. This study was intended to assess the wound healing comparing the two methods of
skin closure of idiopathic club feet undergoing Turco’s posteromedial release.
Methods: 31 feet (22 patients) underwent Posteromedial release for late presenting club feet. They were between 1 to
3 years of age at the time of surgery. The study was conducted in Mercy teaching Hospital from 15 May 2013 to 30 July
2015. Wounds were closed in layers, but skin was sutured in interrupted fashion in half of the feet while in continuous
manner in the other half. Results of wound healing were compared between the two groups. Wounds were examined
on 3rd and 14th post operative days and results were recorded.
Results: There was a statistically significant better and reliable wound healing with interrupted skin closure as compared
to skin suturing in continuous fashion.
Conclusion: It is concluded that the skin should be sutured in interrupted fashion in patients undergoing surgery for
clubfeet as there is a statistically significant better wound healing and thus surgical outcome as compared to continuous
skin closure.
Keywords: Idiopathic club feet, Posteromedial release, Wound healing, Interrupted sutures, Continuous sutures

Authors: 
Salik Kashif
Khurram Iqbal
Ihsan Ullah1
Sanaullah
Waseem Anwar2
Noor Rahman
Muhammad Siraj
Bahadar Ali Khan1
Journal Issue: 

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