[The pre-positioned intracutaneous suture--a method for treatment of soft tissue defects after fascia splitting in acute compartment syndrome].
S Riedl, J Werner, Ulrich Göhring, Peter Jürgen Meeder
Abstract
S Riedl, J Werner, Ulrich Göhring, Peter Jürgen Meeder
Abstract
In the treatment of the acute compartment syndrome open fasciotomy gives rise to a wide soft tissue opening. The persistence of this opening prevents a timely change to internal osteosynthesis in case of additional fractures usually treated by a fixateur externe. Closure of the skin defect itself requires additional surgery. The cosmetical results particular in cases of a mesh-grafting are unsatisfactory. After open fasciotomy the prepositioned intracutaneous suture is a simple operation technique leading to early wound closure with a good cosmetical result.
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In the treatment of the acute compartment syndrome open fasciotomy gives rise to a wide soft tissue opening. The persistence of this opening prevents a timely change to internal osteosynthesis in case of additional fractures usually treated by a fixateur externe. Closure of the skin defect itself requires additional surgery. The cosmetical results particular in cases of a mesh-grafting are unsatisfactory. After open fasciotomy the prepositioned intracutaneous suture is a simple operation technique leading to early wound closure with a good cosmetical result.
Key concepts: Fasciotomy, Medicine, Surgery, Compartment (ship), Soft tissue, Fibrous joint, Skin grafting, Fascia