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Background: Within the realm of surgical decision-making, wound closure material is frequently overlooked. Recent findings from a meta-analysis indicate a heightened risk of surgical site infections (SSIs) associated with the use of staples for wound closure. However, the impact of closure material on non-infectious wound complications remains less defined. In this study, we aim to compare sutures and staples with regard to the clinical outcome of wound closure using the Hollander wound evaluation score (HWES) and Visual analogue patient satisfaction scale (VAS). Materials & Methods: In this randomized prospective study, 60 patients with closed fractures were divided randomly into two groups with 30 patients in each - Group A: Suture, Group B: Staple and evaluated for their wound closure outcome at the 4th and 12th week using HWES and VAS. Result: Group B had a shorter mean closure time (6.8 minutes) compared to Group A (11.3 minutes), but the time to heal was slightly longer in Group B (12 days) than in Group A (11 days). While the cost of materials was higher in Group B than Group A, there were more cases of infection (5 cases) and wound dehiscence (6 cases) in Group B compared to Group A (3 cases each). Additionally, the pain experienced during removal, as per VAS, was higher in Group B (3.1) than in Group A (1.9). However, the assessment of overall cosmesis at 4 and 12 weeks favored Group B (2.1) over Group A (3.2). Conclusion: Sutures vs. Staples in orthopedic surgery in our study show similar healing times, but staples show higher infection risk and cost but overall better cosmesis; sutures have less pain during removal. Further research is needed for conclusive guidance. [ABSTRACT FROM AUTHOR]

Background-Vast majority of fractures of distal radius are articular injuries that result in disruption of both radiocarpal and radioulnar joints. This article presents a percutaneous pinning technique. The purpose of this study is Prospective study on outcome of distal radial fractures treated with closed reduction and percutaneous pinning. Material and method - after ethical approval from IEC, 34 patients with AO type C radius fractures were treated by percutaneous pinning (K-wire) between 27th Aug 2021 to 31st October 2022. The follow up studies include clinical and radiographic examinations. Results- All 34 patients were assessed by follow ups using modified mayo score. The majority of study participants, or 55.90% (n=19), received good scores, while 29.40% (n=10) received exceptional scores. Only 2.90% (n=1) of respondents received a low score. Conclusion- Primary treatment of distal radius fractures is necessary to improve function and prevent complications from immobility. Closed reduction and percutaneous fixation with Kirschner wires alone are effective for distal radius complete intra-articular fractures. Closed reduction and percutaneous pinning patients with distal radius fractures had good range of motion, normal Mayo wrist scores, and no radiographic changes between fracture fixation and fracture healing. [ABSTRACT FROM AUTHOR]