000 02185nam a22003377a 4500
008 210607s20212021 xxu||||| |||| 00| 0 eng d
022 _a2169-7574
024 _a10.1097/GOX.0000000000003530 [doi]
024 _aPMC8032358 [pmc]
040 _aOvid MEDLINE(R)
099 _a33854866
245 _aRetention Sutures and Negative Pressure Wound Therapy for Delayed Primary Closure of Fasciotomy Wounds.
251 _aPlastic and Reconstructive Surgery - Global Open. 9(4):e3530, 2021 Apr.
252 _aPlast. reconstr. surg., Glob. open. 9(4):e3530, 2021 Apr.
253 _aPlastic and reconstructive surgery. Global open
260 _c2021
260 _fFY2021
265 _sepublish
266 _d2021-06-07
520 _aAchieving primary closure of lower extremity fasciotomy wounds is difficult. Surgeons are faced with the option of waiting potentially long periods of time for edema to reside, in order to attempt delayed primary closure (DPC) versus closing at an earlier time with a split thickness skin graft. DPC offers superior aesthetic outcomes than split thickness skin grafts but traditionally cannot occur until later in the clinical course once excessive edema has subsided. We present a case of a young athlete with compartment syndrome, which was managed with an alternative technique for achieving DPC: serial partial closure under tension with retention sutures and negative pressure wound therapy. The successful outcome in this single case should prompt further studies investigating the objective benefits of this novel method to achieve DPC following fasciotomy. Copyright (c) 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Washington Hospital Center
656 _aPlastic Surgery Residency
657 _aCase Reports
700 _aChang, Brian L
700 _aFleury, Christopher M
790 _aChang BL, Dekker PK, Evans KK, Fleury CM
856 _uhttps://dx.doi.org/10.1097/GOX.0000000000003530
_zhttps://dx.doi.org/10.1097/GOX.0000000000003530
942 _cART
_dArticle
999 _c6392
_d6392