title: A simpler, less expensive technique for delayed primary closure of fasciotomies.
abstract: A variety of techniques have recently been advanced for delayed primary closure of wounds following emergent fasciotomy for compartment syndrome. We introduce a very simple, effective method for gradual reapproximation of margins using daily reapplication of Steri-strips (3M Surgical Products, St. Paul, Minnesota). This method allows final closure of fasciotomy wounds with simple suture in 5-8 days without scar contractures, marginal necrosis, infection, or significant pain. Moreover, because it requires no specialized equipment and can be applied in skilled nursing centers or at home by trained nurses, this technique could reduce the cost of caring for fasciotomy patients.
authors.affiliation: Department of Surgery, Marshall University School of Medicine, Huntington, WV 25701, USA. harrah@marshall.edu
authors.forename: J
authors.initials: J
authors.lastname: Harrah
authors.forename: R
authors.initials: R
authors.lastname: Gates
authors.forename: J
authors.initials: J
authors.lastname: Carl
authors.forename: J D
authors.initials: JD
authors.lastname: Harrah
mesh_terms: D000368:Aged; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D001458:Bandages / Q000191:economics; D002921:Cicatrix / Q000517:prevention & control; D003161:Compartment Syndromes / Q000601:surgery*; D003286:Contracture / Q000517:prevention & control; D000071938:Fasciotomy; D017048:Health Care Costs; D006801:Humans; D008875:Middle Aged; D009336:Necrosis; D010146:Pain / Q000517:prevention & control; D010936:Plant Extracts / Q000627:therapeutic use; D032362:Styrax; D013530:Surgical Wound Infection / Q000517:prevention & control; D013536:Suture Techniques
chemical_list: D000891:Anti-Infective Agents, Local; C457659:Benzoin Gum; D010936:Plant Extracts