Difficult leg wounds successfully closed with decortication, bioresorbable ECM and NPWT.
Complications of a missed compartment syndrome are severe. This case demonstrates the difficulty in dealing with such complications, including the difficult situation of being faced with limb salvage when amputation is the best option. Through a short case description and several images, it is demonstrated how even the most difficult wounds in cases like this can be dealt with and achieve a non-painful limb salvage. In particular, an extreme technique of decorticating the bone and applying bioresorbable extracellular matrix with negative pressure wound therapy was applied in order to achieve final wound closure and pain relief. This case demonstrates integration of multiple modalities for complex wound closure.
Department of Orthopaedics, University of Toledo Medical Center, Ohio, USA. jakeheiney@ameritech.net
J
J
Heiney
R
R
Redfern
D000368:Aged; D003131:Combined Modality Therapy / Q000379:methods; D003646:Debridement / Q000379:methods*; D005109:Extracellular Matrix; D005260:Female; D006801:Humans; D023821:Limb Salvage / Q000379:methods*; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D014945:Wound Healing / Q000502:physiology*; D014947:Wounds and Injuries / Q000628:therapy*