An alternative technique for the delayed primary closure of traumatic wounds

Ridgeway, Stephen R.; Sood, Manoj; Enchil-Yawson, M; Rowntree, M.

doi:10.1016/s0020-1383(02)00101-8

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…11 Marek et al and Ridgeway et al utilized suture and catheter for this technique. 12,13 Ridgeway et al in their cases found that wound closed averagely by 9 days applying dermotraction by the urinary catheter. 13 Chiverton et al and Eid et al also utilized suture and catheter for the closure of fasciotomy wounds and got satisfactory results.…”

Section: Discussionmentioning

confidence: 99%

“…12,13 Ridgeway et al in their cases found that wound closed averagely by 9 days applying dermotraction by the urinary catheter. 13 Chiverton et al and Eid et al also utilized suture and catheter for the closure of fasciotomy wounds and got satisfactory results. 14,15 So closure of wounds with soft tissue defects could be done by applying the dermo-traction technique in a better effective way than skin grafting.…”

Section: Discussionmentioning

confidence: 99%

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Dermo traction as a solution to major skin defects: a prospective study in a tertiary care hospital of South Odisha

Sahu

Panda

2019

Int J Res Orthop

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Background: Soft tissue loss with exposure of underlying tissue is a challenge to all Orthopedics surgeons. The present prospective study described dermo-traction technique using infant feeding tube or prolene suture as an alternative method for the wound closure.Methods: This prospective study described 30 cases where dermo-traction technique was used for the closure of the wound using infant feeding tube or prolene suture. Study was conducted in Orthopaedics Department of MKCG Medical College, Berhampur from June 2016 to May 2018. Patients requiring skin grafting for their major soft tissue defects or in whom skin grafting or fasciocutaneous flap could not be done were included in study.Results: Out of 30 patients, 2 were lost to follow-up. Average age of study participants was 39.1 years. Male constituted 67.8%. 78.5% of patients had wound in leg, 14.3% in thigh region, rest had on ankle. 82.1% had an open fracture wound, 10.7% had post-operative wound dehiscence and 7.1% soft tissue injury. Average wound healing time was 15.3days with average 5 tightening session of suture. Wounds healed eventually in 26 patients and 2 patients had an infection. Among 26 patients 9 patients had delayed primary and 17 had secondary closure of wound.Conclusions: It can be concluded that gradual closure of the wounds with soft tissue defects can be achieved by applying dermo-traction technique using prolene suture or infant feeding tube with average 15 days of time. So dermo-traction using infant feeding tube or prolene suture is a simple, inexpensive, effective and technically sound alternate solution for closure of wound.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Dermo traction as a solution to major skin defects: a prospective study in a tertiary care hospital of South Odisha

Sahu

Panda

2019

Int J Res Orthop

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“…Further debridements resulted in loss of about 80% of the peroneus longus. The wound was left open after the fasciotomy and was closed in a staged manner over ten days using a shoe lace technique 1,14 (Fig. 3).…”

Section: Case Reportmentioning

confidence: 99%

Unusual presentation of acute atraumatic peroneal compartment syndrome – A case report and review of literature

2010

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Comparison of delayed and primary wound closure in the treatment of open tibial fractures

Hohmann

Tetsworth

Radziejowski

et al. 2006

Arch Orthop Trauma Surg

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Our results support other recent reports that the infection rate is not increased following primary wound closure after thorough debridement of less severe open fractures. The length of stay following primary closure (group II) was significantly shorter, and that should result in substantially more cost effective care of these serious injuries. We conclude that primary wound closure is a safe option in properly selected cases. Prospective multi-centre studies are needed to further evaluate the safety and efficacy of this treatment alternative.

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An alternative technique for the delayed primary closure of traumatic wounds

Cited by 4 publications

References 5 publications

Dermo traction as a solution to major skin defects: a prospective study in a tertiary care hospital of South Odisha

Dermo traction as a solution to major skin defects: a prospective study in a tertiary care hospital of South Odisha

Unusual presentation of acute atraumatic peroneal compartment syndrome – A case report and review of literature

Comparison of delayed and primary wound closure in the treatment of open tibial fractures

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