What is the recommended time for suture removal of a laceration on the little finger (pinky) in the Emergency Department (ED)?

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From the Guidelines

Sutures for a laceration on the pinky finger should typically be removed after 7-10 days. This timeframe allows sufficient healing while minimizing scarring and infection risk, as supported by the study on surgical site infection control and prevention 1. The method of skin closure, whether by continuous or interrupted stitches, does not significantly impact the incidence of surgical site infections (SSI) or length of hospital stay, according to the study's findings 1. However, the use of absorbable subcuticular sutures, which do not require removal, may provide extra support for the wound after 1 week, potentially reducing the risk of superficial wound dehiscence 1.

For patients with lacerations on the pinky finger, the following considerations are important:

  • The pinky finger requires a relatively longer suture removal time compared to other areas, such as the face, due to increased tension and movement in the hands.
  • Keeping the wound clean and dry, and following specific wound care instructions, is crucial during the healing period.
  • Monitoring for signs of infection, such as increasing redness, warmth, swelling, pus, or fever, is essential, and any concerns should prompt an earlier return to the ED.
  • After suture removal, the wound will continue to strengthen for several weeks, so protecting it from excessive strain is advisable.

It is also important to note that individual factors, such as age or underlying medical conditions, may influence the optimal suture removal time. For example, children or patients with conditions affecting wound healing, like diabetes or steroid use, may benefit from a longer suture removal time, typically at the 10-day mark 1.

From the Research

Suture Removal Timing

The timing of suture removal depends on the location of the wound. According to 2, the optimal timing of suture removal for percutaneous, non-absorbable sutures in surgical incisions and traumatic wounds varies between 3-14 days, depending on factors such as the location of the wound and signs of early wound complications.

Location-Specific Suture Removal

  • For wounds on the face, sutures are typically removed within 4-5 days 2
  • For wounds on the back, sutures are typically removed within 12-14 days 2
  • For wounds on the extremities, including the hands and fingers, sutures are typically removed within 10-14 days 2

Pinky Laceration Suture Removal

For a laceration on the pinky finger, it is likely that sutures would be removed within 10-14 days, depending on the specific location and the individual's healing progress. However, it is essential to follow the specific instructions provided by the healthcare professional who performed the suturing.

General Guidelines

It is crucial to note that these are general guidelines, and the optimal timing of suture removal may vary depending on individual circumstances. Factors such as wound healing progress, presence of infection, and overall patient health may influence the decision to remove sutures earlier or later than the recommended timeframe. As stated in 3, the timing of suture removal depends on location and is based on expert opinion and experience.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Laceration Repair: A Practical Approach.

American family physician, 2017

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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