Delayed primary closure of fasciotomy wounds with Wisebands, a skin- and soft tissue-stretch device

Injury
Yoav BarneaJerry Weiss

Abstract

Fasciotomy incisions for limb compartment syndrome usually cannot be closed primarily. The conventional method of wound closure with split-thickness skin grafting is effective, but it results in an insensate and disfiguring wound and is associated with donor site morbidity. We present our experience in delayed primary closure of fasciotomy wounds with Wisebands (WB), a skin- and soft tissue-stretching device. Between 2000 and 2003, we treated 16 patients with extremity fasciotomy wounds for which primary closure was not feasible. The Wisebands devices achieved controlled stretching of the wound edges, including skin and underlying soft tissue, until primary closure was feasible. Fourteen patients (88%) had successful wound closure, two patients (12%) had minor wound complications that did not necessitate the removal of the device, and two patients had local wound complications (infection, intractable pain) and their devices were removed prematurely. Delayed primary closure was achieved at the initial surgery using intraoperative skin stretching in 3 of the 14 cases (21%). After a 2-year follow-up (1.3-4 years), the treated area showed stable scarring with good aesthetic outcome and no functional deficit. The Wisebands device fa...Continue Reading

References

Apr 1, 1994·American Journal of Surgery·S S BermanV M Bernhard
Aug 1, 1993·Plastic and Reconstructive Surgery·B HirshowitzY Har-Shai
Apr 1, 1996·Acta Orthopaedica Scandinavica·J P BjarnesenN K Jensen
Mar 1, 1997·World Journal of Surgery·G C VelmahosB M Stewart
Nov 1, 1996·Injury·C E Mbubaegbu, M C Stallard
Mar 1, 1997·The Journal of Burn Care & Rehabilitation·D M CarusoW R Schiller
Aug 14, 1998·Plastic and Reconstructive Surgery·M J Concannon, C L Puckett
Aug 26, 1998·Annals of Plastic Surgery·B J WilhelmiL G Phillips
Mar 15, 2000·Injury·N Chiverton, J F Redden
Feb 24, 2001·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·P WigerJ Styf
Jul 27, 2002·Plastic and Reconstructive Surgery·Alexandrina S SaulisThomas A Mustoe
Apr 28, 2004·Plastic and Reconstructive Surgery·Yoav BarneaJerry Weiss

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Citations

Oct 13, 2010·The Journal of Trauma·Geertruida A M Govaert, Svenhjalmar van Helden
Jan 1, 2012·ISRN Orthopedics·Abdelsalam Eid, Mohamed Elsoufy
Feb 6, 2009·Annales de chirurgie plastique et esthétique·G DrossardV Darsonval
Dec 1, 2007·Injury·Peter Giannoudis
Mar 6, 2013·Journal of the European Academy of Dermatology and Venereology : JEADV·Moritz FelchtJörg Faulhaber
Sep 9, 2009·Current Problems in Surgery·Christopher J DenteDavid V Feliciano
Jan 27, 2012·Journal of Vascular Surgery·Tobias WalkerDorothee H L Bail
May 8, 2015·Journal of Cutaneous and Aesthetic Surgery·Vijayaraghavan NandhagopalArjun Ashokan
Feb 9, 2017·Journal of Orthopaedic Surgery·Julio J JaureguiCarl B Paulino
Sep 27, 2014·The International Journal of Lower Extremity Wounds·Despoina Kakagia
Oct 19, 2017·Strategies in Trauma and Limb Reconstruction·Naveen MittalPayal Mittal

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