Survey: Closure following proximal femoral fracture. What is the best method?

The best method for skin closure following fractured neck of femur surgery remains unclear. High quality reports in the literature are lacking and the data in print is conflicting. We felt it timely to survey current skin closure preferences following proximal femoral fracture surgery.

This survey consists of 7 short questions and will take less than 5 minutes to complete.

We would be grateful if you could complete this short survey


QUESTION: What are surgeon preferences in the method of skin closure following proximal femoral fracture surgery (primary outcome) and what factors influence surgeon choice (secondary outcome)?

CURRENT SITUATION: The best method for skin closure following proximal femoral fracture surgery remains unclear.  Wound complications are a major source of morbidity in this patient group.  Haematoma formation and persistent wound drainage increase the risk of superficial wound infection, which is strongly correlated with deep infection.  A published meta-analysis comparing methods of skin closure in orthopaedic surgery concluded the rate of surgical site infections is increased by using staples to close the skin layer following hip surgery.  We felt it timely to survey current skin closure practices following  fractured neck of femur surgery.

The questionnaire will form the first part of a NWOTA observational study that will record methods of skin closure via the National Hip Fracture Database as an add on criteria.  We will then identify all patients re operated on within 120 days of surgery for a wound related problem (primary outcome) and and determine if a subsequently proven deep infection occurred (secondary outcome).