Comparison of Subcutaneous Tissue Closure versus Non Closure after Hip Surgery in Sina Hospital from 2011 to 2013

Introduction & Wound complication is one of the most common problems after surgical incisions. The aim of this study was the evaluation of wound complications with subcutaneous tissue closure versus non closure after hip surgery. 100 patients who were candidates for hip surgery, from 2011 to 2013, were entered in this study. The patients randomly divided into two groups: Group 1, patients with subcutaneous closure (n=48) and group 2, patients without subcutaneous closure (n=52). Wound complications such as hematoma, necrosis, dehiscence, infection and scar were evaluated. Patients were seen in first, second, fourth and eighth weeks after operation. Statistical analysis was done with SPSS 16 by chi-squared and independent sample t-test. In 100 patients, the mean age (55±18.009) year and mean weight (75.41±10.007) kg were not significantly different between the two groups. 56 patients were men and 44 of patients were women. Sex was not significantly different between two groups (P=0.652).One person had diabet mellitus and one had psoriasis. Of 100 surgical operations two were urgent. Of 100 patients 48 were operated with DHS fixatin, 16 hemi and total hip arthroplasty and 4 with osseous resection. 20 had femoral IM and 12 had fracture of acetabulum. Surgical technique was not significantly different between the two groups (P=0.958). We found hematoma in 2 patients and inflammation in 3 patients. Dehiscence was not detected in anybody. Wound infection was found in 3 persons. As a whole no complication was significantly different between the two groups. The mean operation time in the first group was 113±15 minute and in second group was 105 ±14 minute. The first group’s operation time was significantly more than second group (P=0.012). The mean incisional length in first group (11.88±3cm) was significantly more than second group (9.88±3cm), (P=0.004). Our study showed that subcutaneous closure, not only has no significant role on wound complication reduction, but also makes patients to tolerate longer surgical operation.