engleski

Modified technique for delayed primary closure of fasciotomy wound.

Introduction: While pathophysiology and management of compartment syndrome is well documented in the literature, fasciotomy wounds are still a difficult reconstructive challenge to the surgeon. Materials and methods: Management of the fasciotomy wounds postoperatively has consisted traditionally of split-thickness skin grafting, healing by secondary intention and delayed primary closure. The keystone of delayed primary closure relies on the visco-elastic properties of the skin and the stretching potential of the soft tissues. Results: Our technique for delayed primary closure of the fasciotomy wounds combines the subcuticular suture technique with the VAC system. Conclusion: The technique presented is simple, allows for earlier rehabilitation and is useful even in patients with very thin and fragile skin which are poor candidates for treatment with dermatotraction.

Fasciotomy wounds ; primary closure

nije evidentirano