Time to removal of sutures from the palmar surface of the hand in dark-skinned patients: Results in a prospective cohort of 146 hands
| Autor: | K. Kibadi |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Tobacco use Young Adult Suture (anatomy) Humans Medicine Orthopedics and Sports Medicine Prospective Studies Prospective cohort study Wound Healing Sutures integumentary system business.industry Suture Techniques Rehabilitation Mean age Middle Aged Surgery Cohort Female Wound closure History of use business Palmar surface |
| Zdroj: | Hand Surgery and Rehabilitation. 41:142-148 |
| ISSN: | 2468-1229 |
| DOI: | 10.1016/j.hansur.2021.09.006 |
| Popis: | The objective of this study was to estimate the time to removal of a suture from the palmar surface of a dark-skinned adult hand. A descriptive and analytical study included a cohort of 146 patients, 57% male, with a mean age of 37 ± 14 years, covering a period of 10 years. The mean time to removal of sutures on the palmar surface of the dark-skinned adult hands was 21 ± 2 days. Complete epithelialization of the suture path was the clinical indication for the ideal day for removal. After removal, closure was total in 90% of cases (132 hands) and partial in 9% (14 hands). The day of suture removal was significantly (p = 0.006) related to wound healing (complete closure). Eighty-five percent of patients without complete wound closure at suture removal had history of use of skin-lightening products. Tobacco use significantly lengthened time to suture removal (p 0.001). There was a correlation between patient age and time to suture removal. On multivariate analysis, three factors were predictive of suture removal later than day 21: being a manual worker (44% of patients) (p 0.006), suture location in a palmar fold area (0.001) and the age of patient, the 41-50 years (p = 0.001) and50 years (p 0.001). |
| Databáze: | OpenAIRE |
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