Comparison between suture and staple fixations as internal fixation techniques for Akin osteotomy. Issue 1 (January 2022)

• Record Type: Journal Article
• Authors: Matsumoto, Takumi; Takeda, Ryutaro; Maenohara, Yuji; Chang, Song Ho; Omata, Yasunori; Takuo, Juji; Tanaka, Sakae
• Is Part Of: Foot and ankle surgery. Volume 28:Issue 1(2022)
• Page Start: 100
• Page End: 106
• Publication Date: 2022-01
• Subjects: Akin osteotomy -- hallux valgus -- staple fixation -- suture fixation; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2021.02.004
• Languages: English
• ISSNs: 1268-7731

Abstract

Highlights: There has been a paucity of studies comparing the different fixation methods for Akin osteotomy without bias. In this study, we compared the radiographical results of Akin osteotomy performed using suture and staple fixations in a series of surgeries performed by a single surgeon. Comparison between suture and staple fixations for Akin osteotomy performed by a single surgeon demonstrated comparable results in terms of bone union rate, time to bone union, and complications resulting from implanted materials. A significantly larger displacement was observed at the osteotomy site with staple fixation in cases with lateral cortex breakage, advocating the use of suture fixation in terms of stability and cost efficiency. Abstract: Background: Suture and staple fixations are commonly used methods for Akin osteotomy; however, there has been a paucity of studies comparing these methods without bias. Patients and methods: We retrospectively compared the outcomes of 58 Akin osteotomies performed by a single surgeon using suture fixation and 39 Akin osteotomies performed by the same surgeon using staple fixation during the same period. Results: Bone union at the osteotomy site was achieved in all cases with no cases of complications related to the materials used. Occurrence of breakage of the lateral cortex of the proximal phalanx showed no significant difference between the suture and staple groups. The lateral cortex breakage produced greater instability at the osteotomy site with the staple fixation compared to the suture fixation. Conclusions: Comparison of suture and staple fixations of Akin osteotomy demonstrated the superiority of suture fixation against staple fixation in terms of stability and cost-efficiency.