Vergleich der Infekthäufigkeit zwischen resorbierbaren und nicht resorbierbaren Nahtmaterialien bei Rotatorenmanschetten-Operationen

Abstract

In the sorbable Suture Material after Rotator Cuff Repair. In the literature there are few reports on low grade infection due to nonabsorbable suture material after rotator cuff surgery. In this retrospective study we wanted to find out if there is a correlation between septic and aseptic wound infection and nonabsorbable suture material (Ethibond®). 132 patients were treated surgically between 1994 and 1999 for rotator cuff tears using tendon-to-bone repair with nonabsorbable multifilamented sutures (Ethibond®). For comparison we reviewed our 104 patients after open acromioplasty, where only absorbable suture material for deltoid reattachment was used. In the group of rotator cuff repair deep infection occurred in 4 shoulders (3%) with the need of surgical debridement and draining. One infection was caused by Staphylococcus epidermidis, the other three showed negative bacteriology. In the group of open acromioplasty we found 4 deep infections (3,8%). All of them were caused by bacteria. Our results show no difference with regard to infection between absorbable and nonabsorbable suture material. But in the rotator cuff repair group using nonabsorbable sutures, aseptic wound complications were significantly higher.