19 cases of compartment syndrome by early incision stamps thin skin graft skin graft surgery experience.docVIP
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19 cases of compartment syndrome by early incision stamps thin skin graft skin graft surgery experience
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19 cases of compartment syndrome by early incision stamps thin skin graft skin graft surgery experience
[Abstract] compartment syndrome cut to reduce tension in the past by open or semi-open approach, slow wound healing, skin flap retraction, scar the shortcomings of multi-cable, we used the early incision line of stamps by thin free skin chip skin grafting to avoid the above-mentioned shortcomings, with wound healing, local inflammation light, the advantages of low section scar cable.
For compartment syndrome by incision wound past the line open or semi-open areas to reduce tissue compartment pressure to improve blood circulation, to be two further skin graft, the clinical healing slowly, scar index Article number and other shortcomings. We in the treatment of patients with lower leg compartment syndrome in 19 patients, using a cut stamps simultaneously reducing thin sheets of skin graft skin graft surgery, patients 10 to 14 days after injury, wound healing, reduced the course is conducive to the rehabilitation of patients.
A clinical data Experimental group of 19 patients, mean age 27.8 years, 12 males and 7 females, post-traumatic fracture both legs appeared compartment syndrome, compartment cut to reduce tension lines at the same time, the early line of stamps thin skin graft free skin grafting. the control group of 10 patients, to reduce tension after incision, the second line of skin grafting.
Two surgical methods To reduce tension at the same time with the cut line of thin skin grafts stamps intraoperative body with thin skin graft take, and cut into about 1.0cm 1.5cm, graft in the wound, spacing 0.5cm 1.0cm, the skin flap and shorten the break between the deep fascia and covered with skin graft and bandaging it. dressings replaced the next day.
III Results Review after two potassium, sodium, chloride, blood, urine creatinine, and proteinuria, no significant difference between the two
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