title: Closure of wounds in the upper extremity using a skin stretching device.
abstract: A skin stretching device (SSD) harnessing the viscoelastic properties of skin using incremental traction has been used in 20 patients with skin deficits in the upper extremity. Complications were few considering the extensive damage to the skin and included slight partial dehiscence, necrosis of skin edges, local infection and hypertrophic scars. All wounds healed without the need for further surgical procedures. Application of the SSD is simple and it can even be used at the bedside under local anaesthesia. It reduces the need for more complicated surgical procedures like grafts or flaps.
authors.affiliation: Hand Surgery Unit, Rambam Medical Center, Haifa, Israel.
authors.forename: S
authors.initials: S
authors.lastname: Stahl
authors.forename: Y
authors.initials: Y
authors.lastname: Har-Shai
authors.forename: B
authors.initials: B
authors.lastname: Hirshowitz
mesh_terms: D000328:Adult; D001132:Arm / Q000601:surgery*; D001134:Arm Injuries / Q000601:surgery*; D004867:Equipment Design; D019115:Fasciitis, Necrotizing / Q000601:surgery; D005260:Female; D005543:Forearm Injuries / Q000601:surgery; D006801:Humans; D008297:Male; D017695:Soft Tissue Injuries / Q000601:surgery*; D012983:Soft Tissue Neoplasms / Q000601:surgery*; D013536:Suture Techniques / Q000295:instrumentation*; D015626:Tissue Expansion / Q000295:instrumentation*; D014948:Wounds, Gunshot / Q000601:surgery