Open AccessThe dermatotraction technique for closure of fasciotomy wound
Author(s) -
Prabhakar Venkataramana,
Praveen S Padasali
Publication year - 2015
Publication title -
journal of orthopaedics and allied sciences
Language(s) - English
Resource type - Journals
eISSN - 2347-436X
pISSN - 2319-2585
DOI - 10.4103/2319-2585.155912
Subject(s) - prolene , fasciotomy , medicine , surgery , wound closure , closure (psychology) , skin grafting , fibrous joint , wound healing , economics , market economy , adverse effect
Management of an open wound is a problem frequently encountered in the treatment of fractures. Skin grafting, rotational flaps, free flaps, and healing by secondary intention add a considerable amount of morbidity and cost to the patient. Therefore, it is ideal to obtain primary closure when possible. This communication describes a technique that uses 1-0 prolene suture material, skin stapler and the natural stretching ability of the skin to enable primary closure of wounds. The technique described uses dermatotraction to stretch the skin, is a cost-effective way to achieve primary closure of large wounds with supplies that are readily available in every operating room