Pretibial lacerations: a comparison of primary excision and grafting with “defatting” the flap

Haiart, D. C.; Paul, Alan; Chalmers, R.J.G.; Griffiths, John M.

doi:10.1016/0007-1226(90)90078-e

Cited by 20 publications

(10 citation statements)

References 8 publications

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“…Silk (2001) points out that the wound can be dif®cult to assess if a large number of adhesive tapes are applied. Haiart et al (1990) performed a small randomized study comparing split skin grafting to defatting the¯a p and securing with adhesive tape. In total, 25 patients were entered into the study.…”

Section: Methods Of Treatmentmentioning

confidence: 99%

Pretibial wounds: a review of current practice

Batchelor

Alagappan

2003

Trauma

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Pretibial wounds are often associated with prolonged wound healing, particularly in the elderly female population. The wounds characteristically have either a proximally or distally based flap. Delayed wound healing has been attributed to flap necrosis and poor blood supply to this area. The aim of this review article is to examine the vascular anatomy, pathology and management options of patients with pretibial wounds.

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Section: Methods Of Treatmentmentioning

confidence: 99%

Pretibial wounds: a review of current practice

Batchelor

Alagappan

2003

Trauma

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“…An average time quoted for healing of pretibial lacerations with conservative management alone is 65 days, with many patients requiring subsequent surgery (Crawford and Gipson, 1977). A review of 25 pretibial flap lacerations managed by either primary excision and split skin grafting or replacement of the defatted skin flap found faster healing in the grafted group (mean 13.2 vs. 40.7 days) (Haiart et al, 1990). Other studies have advocated early mobilisation after showing no effect on the rate of healing when immobilisation is increased beyond 24 h (Wood and Lees, 1994) and a detrimental effect on hospital stay and return to independent mobility (Budny et al, 1993).…”

Section: Managementmentioning

confidence: 99%

The classification and principles of management of wounds in trauma

Barnard

Allison

2009

Trauma

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The correct assessment and early management of wounds is vital in achieving a good outcome in both the acute and chronic setting. A robust management plan for the trauma patient depends upon accurate and timely assessment of all injuries and evaluation of key features such as mechanism of injury, pre-hospital findings and intervention, zone of injury, patient characteristics and structures damaged. This article describes the general principles of wound assessment and management, discussing mechanism and zone of injury, debridement techniques, types of irrigation and the use of antibiotic prophylaxis. Particular attention is given to the management of open tibial fractures, fasciotomy wounds, pretibial lacerations and haematomas and bite wounds.

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“…Usually, the low mobility of the surrounding skin does not make a direct closure possible. However, wound edge approximation shows a high percentage of failure or requires long time to achieve complete healing [1]. Skin graft compared to wound edge juxtaposition shows an advantage in success rate and in healing time [1].…”

Section: Introductionmentioning

confidence: 99%

“…However, wound edge approximation shows a high percentage of failure or requires long time to achieve complete healing [1]. Skin graft compared to wound edge juxtaposition shows an advantage in success rate and in healing time [1]. However, for major defects skin graft does not provide optimal coverage of the underlying structures (vessels, nerves, and tendons).…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of Traumatic Defect of the Lower Third of the Leg Using a Combined Therapy: Negative Pressure Wound Therapy, Acellular Dermal Matrix, and Skin Graft

Brongo

Pagliara

Campitiello

et al. 2014

Case Reports in Surgery

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The reconstruction of lower third of the leg is one of the most challenging problems for plastic and reconstructive surgeons and current approaches are still disappointing. We show an easy option to obtain a coverage of traumatic pretibial defects with good aesthetic and functional results: the association of negative pressure wound therapy, acellular dermal matrix, and skin graft. The choice of this combined therapy avoids other surgical procedures such as local perforator flaps and free flaps that require more operating time, special equipment, and adequate training.

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Pretibial lacerations: a comparison of primary excision and grafting with “defatting” the flap

Cited by 20 publications

References 8 publications

Pretibial wounds: a review of current practice

Pretibial wounds: a review of current practice

The classification and principles of management of wounds in trauma

Reconstruction of Traumatic Defect of the Lower Third of the Leg Using a Combined Therapy: Negative Pressure Wound Therapy, Acellular Dermal Matrix, and Skin Graft

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