{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T23:17:56Z","timestamp":1788736676265,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T00:00:00Z","timestamp":1741046400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This randomized controlled trial (RCT) compared outcomes of absorbable and non\u2010absorbable sutures for skin closure in open carpal tunnel decompression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients diagnosed with bilateral carpal tunnel syndrome proceeding to staged open carpal decompression were invited to participate in the trial. Patients elected left or right hand for the first operation and were randomized to receive Prolene (non\u2010absorbable) or Vicryl Rapide (absorbable) first, and the alternative suture to the contralateral side.<\/jats:p><jats:p>Recorded pre\u2010operative data included the Boston Carpal Tunnel Questionnaire (BCTQ) for each hand. At 2\u2009weeks post\u2010operatively the BCTQ, a Visual Analogue Score (VAS) for pain and Asepsis Wound Score were recorded. At 6\u2009weeks, the BCTQ and VAS were repeated and a Patient and Observer Scar Assessment Scale (POSAS) was performed. Patients were asked preference for left or right suture. Statistical analysis using a linear mixed model assessed improvements in the BCTQ, as well as wound scores between sutures. The individual scales were compared using non\u2010parametric Wilcoxon signed rank test. Specific patient factors including age, comorbidities, and previous steroid injections were evaluated for their impact on outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no significant difference between the two suture types in any of the overall recorded assessments, complications or patient preferences. BCTQ scores improved significantly post\u2010operatively, <jats:italic>P<\/jats:italic>\u2009=\u20090.001. Previous steroid injection, diabetes and age over 65 did not affect outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients can be advised there is no difference in the outcome following open carpal tunnel decompression from using either absorbable or no\u2010absorbable suture material for skin closure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.70030","type":"journal-article","created":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T02:22:48Z","timestamp":1741573368000},"page":"527-532","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparative analysis of suture choice in open bilateral carpal tunnel surgery: a randomized controlled trial"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1641-1096","authenticated-orcid":false,"given":"Jessica","family":"Leary","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Taranaki Base Hospital  New Plymouth New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Frampton","sequence":"additional","affiliation":[{"name":"University of Otago Christchurch  Christchurch Central New Zealand"},{"name":"Statistecol Consultants Ltd  Christchurch Central New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Muller","sequence":"additional","affiliation":[{"name":"University of Auckland Auckland Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0033-3529","authenticated-orcid":false,"given":"Timothy","family":"Lynskey","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgeon, Department of Orthopaedic Surgery Taranaki Base Hospital  New Plymouth New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1308\/003588406X117070"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0260578"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.37358\/RC.19.10.7602"},{"key":"e_1_2_11_5_1","unstructured":"Overview: COVID\u201019's impact on health care systems.Canadian Institute for Health Information | CIHI[Cited 15 Feb 2024.] Available from URL:http:\/\/www.cihi.ca."},{"key":"e_1_2_11_6_1","first-page":"89","article-title":"Empty waiting rooms: the New Zealand general practice experience with telehealth during the COVID\u201019 pandemic","volume":"134","author":"Wilson G","year":"2021","journal-title":"N. 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