Abstract
Coaptive film (i.e., Steri-Strips™) is an adhesive tape used to replace sutures in wound closure. The use of coaptive film for wound closure after long bone fracture fixation has not been well documented in the literature. The aim of this prospective, randomized controlled trial comparing coaptive film with sutures for wound closure after long bone fracture fixation was skin closure time, incidence of wound complications and scar width at 12 week follow-up. Forty-five patients underwent femur fracture fixation (22 patients' wound closed with sutures, 23 with coaptive film). The mean time for skin closure using coaptive film was 171.13 seconds compared to 437.27 seconds using suture. The mean wound lengths in the coaptive film group and suture group were 187.65 mm and 196.73 mm, respectively. One patient in each group had wound complications. Coaptive film is a time-saving procedure for skin closure following long bone fracture fixation. There is no difference in the incidence of wound complications and scar width between these two methods of skin closure.
Highlights
Coaptive film is an adhesive tape used to replace sutures in wound closure
Kerrigan and Homa found that Steri-StripsTM permits faster wound closure than suture[2], and Lazar et al reported that Steri-StripTM decreases erythema[3]
Rebello and colleagues conducted a randomized controlled trial comparing coaptive film (Steri-StripTM) and sutures in children with cerebral palsy undergoing soft tissue releases[4], and concluded that Steri-StripsTM takes less time to close the skin than sutures; they reported no wound complications and the resulting scars produced similar cosmetic results
Summary
Coaptive film is an adhesive tape used to replace sutures in wound closure. Van De Gevel et al demonstrated that the Steri-StripTM brand Rebello and colleagues conducted a randomized controlled trial comparing coaptive film (Steri-StripTM) and sutures in children with cerebral palsy undergoing soft tissue releases[4], and concluded that Steri-StripsTM takes less time to close the skin than sutures; they reported no wound complications and the resulting scars produced similar cosmetic results. These findings were further supported by Grottkau et al who used Steri-StripsTM compare to sutures in children undergoing posterior spinal fusion with instrumentation[5]. There is no difference in the incidence of wound complications and scar width between these two methods of skin closure
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