Comparison of lower extremity fasciotomy wound closure techniques in children: vacuum-assisted closure device versus temporary synthetic skin replacement

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Hannah Rachel BussellSasha Job Tharakan

Abstract

No clear consensus on the optimal treatment of fasciotomy wounds due to acute compartment syndrome of the lower leg in children exists. We therefore compared two commonly used methods to close fasciotomy wounds, Epigard, a temporary synthetic skin replacement (SSR) and the vacuum-assisted closure (V.A.C.) device, in respect of treatment duration and complication rates. We studied the cases of 27 patients who were treated at our institution for acute compartment syndrome of the lower leg with a fasciotomy over a 10-year period. The fasciotomy wound was either treated with SSR or V.A.C. device. We recorded the number of procedures to definitive wound closure, days to wound closure, hospitalization days and sequelae rate. In the V.A.C. device group (18 patients) the mean number of procedures until definitive wound closure was 3.1, mean days until wound closure was 9.4 and mean days of hospitalization was 16.2. One patient suffered from a wound infection and one patient required a full thickness skin graft. In the SSR group (9 patients), the mean number of procedures was 1.8, mean days until definitive wound closure was 4.9 and mean days of hospitalization was 9.9. No sequelae were recorded. There was a statistically significant sm...Continue Reading

References

Dec 1, 1996·Der Unfallchirurg·W FleischmannC Marquardt
May 15, 2007·Clinical Orthopaedics and Related Research·Richard von Volkmann
Feb 8, 2008·The Journal of Bone and Joint Surgery. British Volume·J M StaudtC M A M van der Horst
Aug 26, 2009·Journal of Orthopaedic Trauma·James P StannardJorge E Alonso
Apr 20, 2010·International Orthopaedics·József ErdösStefan Hajdu
Jun 26, 2010·ANZ Journal of Surgery·Christopher J WallUNKNOWN Liverpool(Sydney) and Royal Melbourne Hospitals
May 20, 2011·The Journal of Bone and Joint Surgery. American Volume·John M FlynnPaul D Sponseller
Dec 21, 2012·Journal of Orthopaedic Surgery·Mary DoverJohn F Quinlan
Oct 2, 2014·ANZ Journal of Surgery·Masanori MurakamiKimikazu Hamano
Apr 9, 2015·Journal of Pediatric Orthopedics·Sasha J TharakanDaniel M Weber

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Citations

Oct 16, 2019·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Peter Paul Schmittenbecher
Nov 9, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Praveen Kumar ArumugamRahul Bamal

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