Authors: Gareth Price Nicholas Hodgins Brendan Fogarty
Publish Date: 2015/10/19
Volume: 39, Issue: 2, Pages: 99-106
Abstract
Extremity fasciotomy wound closure following acute compartment syndrome is often prohibited by residual swelling producing wounds that significantly contribute to patient morbidity The aim of this study was to assess patient and fasciotomy wound outcomes associated with dynamic closure DYN delayed primary closure DPS and split skin grafting SSG techniquesDYN was employed in 109 wounds DPS in 66 wounds and SSG in 7 wounds DPS wounds achieved closure in a significantly shorter timescale than other methods p = 005 DYN and SSG group wound closure times were comparable however SSG techniques were employed later postfasciotomy SSG patients had longer hospital stays p = 005 and the lowest wound complication rate 0 Wound complication rates were significantly higher in the DYN 55 and DPS groups 15 p = 005 and these wounds required a higher number of further surgical procedures The need for repeated wound debridements was higher in the DYN group than any other p = 005DPS provided the fastest method of fasciotomy wound closure and the shortest inpatient stay DYN techniques were associated with higher wound complication rates and the need for further surgical procedures SSG techniques were associated with low complication rates and fewer surgical procedures and if applied earlier could result in shorter inpatient stay
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