Sutures versus staples for skin closure in orthopaedic surgery: meta-analysis

Toby O. Smith, Debbie Sexton, Charles Mann, Simon Donell

Research output: Contribution to journalArticlepeer-review

183 Citations (Scopus)


After orthopaedic surgery, there is a significantly higher risk of developing a wound infection when the wound is closed with staples rather than sutures. This risk is specifically greater in patients who undergo hip surgery. The use of staples for closing hip or knee surgery wounds after orthopaedic procedures cannot be recommended, though the evidence comes from studies with substantial methodological limitations. Though we advise orthopaedic surgeons to reconsider their use of staples for wound closure, definitive randomised trials are still needed to assess this research question.
Original languageEnglish
Article number1098
Pages (from-to)747
Number of pages1
JournalBritish Medical Journal (BMJ)
Publication statusPublished - 16 Mar 2010

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