Elastic suture (shoelace technique) for fasciotomy closure after treatment of compartmental syndrome associated to tibial fracture

Branco, Paulo Sergio Martins Castelo; Cardoso, Mauricio; Rotbande, Isaac; Ciraudo, José Antonio Fraga; Silva, Celso Ricardo Correa de Melo; Leal, Paulo Cesar dos Santos

doi:10.1016/j.rboe.2016.11.004

Cited by 1 publication

(1 citation statement)

References 13 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Branco et al . used an elastic wire instead of vessel loops in a patient following tibial fracture-related CS; wound closure was successful within seven days 31. Eid and Elsoufy used a shoelace apparatus consisting of one or two paediatric urinary catheters as well as skin staples without encountering major complications in a series of 17 patients with fracture-related CS 32.…”

Section: Dermal Apposition Techniquesmentioning

confidence: 99%

Optimising Wound Closure Following a Fasciotomy: A narrative review

Alkhalifah¹,

Almutairi²

2019

Sultan Qaboos Univ Med J

View full text Add to dashboard Cite

Compartment syndrome is a surgical emergency that could be resolved by a fasciotomy. However, performing substantial skin incisions may lead to life-threatening complications. This narrative review aimed to present the available methods of wound closure and preferential factors for using each technique. Viable and noninfected wounds were most often treated by gradual approximation techniques, such as the simple or modified shoelace technique, the prepositioned intracutaneous suture or several commercially-available mechanical devices. In addition, applying negative pressure therapy was found to be feasible, particularly when combined with approximation techniques. Skin grafting was reserved for severely-dehiscent wounds while other non-invasive approaches were considered for other subsets of patients with inadvisable surgical interventions. Treatment decision should be made in view of the patient’s condition, ease of application, availability of resources, cost of treatment and aesthetic outcomes.Keywords: Compartment Syndrome; Fasciotomy; Wound Closure Techniques; Negative-Pressure Wound Therapy.

show abstract

Section: Dermal Apposition Techniquesmentioning

confidence: 99%