Open AccessFasciotomy closure techniques
Author(s) -
Julio J. Jauregui,
Samantha J. Yarmis,
Justin Tsai,
Kemjika O Onuoha,
Emmanuel M. Illical,
Carl B. Paulino
Publication year - 2017
Publication title -
journal of orthopaedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 40
eISSN - 2309-4990
pISSN - 1022-5536
DOI - 10.1177/2309499016684724
Subject(s) - fasciotomy , medicine , closure (psychology) , skin grafting , amputation , surgery , medline , wound closure , wound healing , political science , economics , law , market economy , adverse effect
We evaluated the risks and success rates of the three major techniques for compartment syndrome fasciotomy closure by reviewing all literature published to date. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we systematically evaluated the Medline (PubMed) database until July 2015, utilizing the Boolean search sting “compartment syndrome OR fasciotomy closure.” Two authors independently assessed all studies published in the literature to ensure validity of extracted data. The data was compiled into an electronic spreadsheet, and the wound closure rate with each technique was assessed utilizing a proportion random model effect. Success was defined as all wounds that could be closed without skin grafting, amputation, or death. The highest success rate was observed for dynamic dermatotraction and gradual suture approximation, whereas vacuum-assisted closure had the lowest complication rate.