title: [Managements of open wounds from an earthquake].
abstract: OBJECTIVE
  To explore the surgical managements of open wounds from 5·12 Wenchuan Earthquake.
  
  
  METHODS
  In this report, fifty one patients with open wounds were treated after transported into West China Hospital from May 12 to 26 in 2008 after 5·12 Wenchuan Earthquake. Among 51 cases, open wounds were due to open fractures (n = 8), fasciotomy (n = 6), exposed bone (n = 8) and defects of skin and soft tissue (n = 29). All cases had wound infections. Sixty operations were performed, including muscle and myocutaneous flap (n = 4), skin grafting (n = 30), NPWT (negative pressure wound therapy) (n = 2) and debridement (n = 24).
  
  
  RESULTS
  Four cases of muscle and myocutaneous flaps survived with an excellent blood circulation. And 30 cases of skin grafting had a survival rate of over 90%, 2 cases of NPWT and 24 cases of debridement required further treatment.
  
  
  CONCLUSIONS
  With adequate surgical managements, open wound healing from an earthquake may be accelerated and the functions maximally preserved.
authors.affiliation: Department of Burns & Plastic Surgery, Beijing Jishuitan Hospital, Beijing 100035, China. Email: xchin@sohu.com.
authors.forename: Xin
authors.initials: X
authors.lastname: Chen
authors.forename: Ye-ping
authors.initials: YP
authors.lastname: Zhou
authors.forename: Fu-guo
authors.initials: FG
authors.lastname: Huang
authors.forename: Shi-qiang
authors.initials: SQ
authors.lastname: Cen
authors.forename: Feng-jun
authors.initials: FJ
authors.lastname: Qin
authors.forename: Zhong
authors.initials: Z
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D002681:China; D054597:Disaster Medicine; D004190:Disasters; D055866:Earthquakes; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D014945:Wound Healing; D014946:Wound Infection / Q000517:prevention & control*; D014947:Wounds and Injuries / Q000601:surgery*; D055815:Young Adult