title: Treatment in an outpatient setting for a patient with an infected, surgical wound with hypergranulation tissue.
abstract: The purpose of this article is to describe a multifaceted approach to wound care in an outpatient setting for a patient with an infected, nonhealing surgical wound with hypergranulation tissue following fasciotomy for acute compartment syndrome. A 44-year-old male underwent an anterior and lateral lower extremity compartment fasciotomy and developed a persistent right anterolateral lower leg wound. Thirty-six days after fasciotomy he came to the authors' clinic after 2 failed skin grafts with an infected wound covered in hypergranulation tissue. Treatment included sharp debridement, saline irrigation, patient education, and dressing changes during 9 treatment sessions. The patient's total wound surface area decreased from 5.2 cm x 17.3 cm to 4 cm x 15 cm with increased epithelialization from approximately 40% to 85% after 29 days of treatment. This article demonstrates the positive effect of a multifaceted approach for facilitation of wound healing in a lower extremity wound following fasciotomy.
authors.affiliation: Rockwood Clinic, Spokane, WA 99218, USA. neager@u.washington.edu
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Stevens
authors.forename: Terry
authors.initials: T
authors.lastname: Shultz
authors.forename: Ryan L
authors.initials: RL
authors.lastname: Mizner
authors.forename: Meryl
authors.initials: M
authors.lastname: Gersh
mesh_terms: D000287:Administration, Topical; D000328:Adult; D000553:Ambulatory Care; D000868:Anterior Compartment Syndrome / Q000601:surgery; D001458:Bandages; D003646:Debridement; D019299:Decompression, Surgical / Q000009:adverse effects; D006097:Granulation Tissue / Q000601:surgery*; D006801:Humans; D020100:Hydrogels / Q000008:administration & dosage; D008297:Male; D012834:Silver / Q000008:administration & dosage; D017592:Skin Care / Q000295:instrumentation* / Q000379:methods*; D016038:Skin Transplantation / Q000009:adverse effects; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D014945:Wound Healing / Q000187:drug effects
chemical_list: D020100:Hydrogels; D012834:Silver