Shoelace Wound Closure for the Management of Fracture-Related Fasciotomy Wounds
Joint Authors
Eid, Abdelsalam
Elsoufy, Mohamed
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-09-19
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Compartment syndrome is a serious complication that might occur following fractures.
The treatment of choice is emergent fasciotomy of all the involved muscle compartments to lower the compartment pressure.
The classic management of fasciotomy wounds was split thickness skin graft.
Patients and Methods.
Seventeen patients with fracture-related compartment syndrome were managed by fasciotomy in the Orthopaedic Casualty Unit of our university hospital.
The fractures included four femoral fractures and 13 fractures of the tibia and fibula.
Results.
All fasciotomy wounds healed eventually.
Wound closure occurred from the corners inward.
The skin closure was obtained at an overall average of 4.2 tightening sessions (range 3–7).
Fracture healing occurred at an average of 15.4 weeks (range 12 to 22 weeks).
No major complications were encountered in this series.
Conclusion.
Closure of fasciotomy wounds by dermatotraction could be performed in a staged fashion, using inexpensive equipment readily available in any standard operating room, until skin was approximated enough to heal either through delayed primary closure or secondary healing.
American Psychological Association (APA)
Eid, Abdelsalam& Elsoufy, Mohamed. 2012. Shoelace Wound Closure for the Management of Fracture-Related Fasciotomy Wounds. ISRN Orthopedics،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-478890
Modern Language Association (MLA)
Eid, Abdelsalam& Elsoufy, Mohamed. Shoelace Wound Closure for the Management of Fracture-Related Fasciotomy Wounds. ISRN Orthopedics No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-478890
American Medical Association (AMA)
Eid, Abdelsalam& Elsoufy, Mohamed. Shoelace Wound Closure for the Management of Fracture-Related Fasciotomy Wounds. ISRN Orthopedics. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-478890
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478890