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Early Results Using a Dynamic Method for Delayed Primary Closure of Fasciotomy Wounds.
Taylor RC, Reitsma BJ, Sarazin S, Bell MSG. Journal of the American College of Surgeons. 2003 Nov;197:872 – 878.
Excerpts:
Fasciotomy incisions, which are usually performed for compartment syndrome, cannot be closed primarily because of excessive tension across the wound secondary to postischemic
swelling of the extremity. Split-thickness skin grafting, the conventional method of fasciotomy closure, is effective but it results in an insensate and cosmetically unappealing
wound and is associated with donor site morbidity.
Our early results with the dynamic wound closure method have demonstrated cosmetically acceptable, delayed primary closure of difficult fasciotomy wounds in a timely matter.
Its advantages over other currently available wound closure methods include versatile and straightforward bedside application; the ability to close large skin defects or defects
that exhibit excessive tension; and adequate and customized tensile strength, elasticity, and durability over a full range of motion. The dynamic wound closure method will
need to be evaluated in formal comparative studies in which it is applied at the time of fasciotomy. This method also merits further clinical evaluation in other complex surgical
wounds, such as in the setting of abdominal wound dehiscence.
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