Fasciotomy closure using negative pressure wound therapy in
lower leg compartment syndrome.

J 2016

Fasciotomy closure using negative pressure wound therapy in lower leg compartment syndrome.

KRTIČKA, Milan; Daniel IRA; A. BILIK; P. ROTSCHEIN; Jan ŠVANCARA et al.

Základní údaje

Originální název

Fasciotomy closure using negative pressure wound therapy in lower leg compartment syndrome.

Autoři

KRTIČKA, Milan; Daniel IRA; A. BILIK; P. ROTSCHEIN a Jan ŠVANCARA

Vydání

Bratislava medical journal, Bratislava, Comenius University, 2016, 0006-9248

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30211 Orthopaedics

Stát vydavatele

Slovensko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 0.667

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/16:00091818

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

lower leg; acute compartment syndrome; NPWT; split thickness graft; fasciotomy; wound closure

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 28. 2. 2017 16:29, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Backround: Fasciotomy wounds can be a major contributor to length of stay for patients as well as a difficult reconstructive challenge. Objectives: To evaluate lower leg fasciotomy wound closure outcomes comparing treatment with combined dressing fabric (COM) and negative pressure wound therapy (NPWT) in combination with elastic dynamic ligature (EDL). Methods: Retrospective study of 63 patients who underwent lower leg fasciotomy due to injury treated from January 2008 to December 2015 at Department of Trauma Surgery, University Hospital Brno. Of these fasciotomy wounds 42 received a NPWT treatment in combination with EDL, 21 were treated only with COM. Fasciotomy wounds were closed either with primary suture or in case of persisting oedema and skin retraction the defect was covered with split thickness skin graft. Results: There was statistically significant higher rate of primary wound closure using the NPWT versus traditional dressing (p=0,015). Median time to definitive wound closure or skin grafting was shorter in NPWT group. Number of dressing changes was lower in the NPWT group (p=0,008). Conclusion: NPWT combined with elastic dynamic ligature offers many advantages for fasciotomy wound closuring in comparison with traditional techniques.

Citovat

KRTIČKA, Milan; Daniel IRA; A. BILIK; P. ROTSCHEIN a Jan ŠVANCARA. Fasciotomy closure using negative pressure wound therapy in lower leg compartment syndrome. Bratislava medical journal. Bratislava: Comenius University, 2016, roč. 117, č. 12, s. 710-714. ISSN 0006-9248. Dostupné z: https://doi.org/10.4149/BLL_2016_136.

@article{1361357,
   author = {Krtička, Milan and Ira, Daniel and Bilik, A. and Rotschein, P. and Švancara, Jan},
   article_location = {Bratislava},
   article_number = {12},
   doi = {https://doi.org/10.4149/BLL_2016_136},
   keywords = {lower leg; acute compartment syndrome; NPWT; split thickness graft; fasciotomy; wound closure},
   language = {eng},
   issn = {0006-9248},
   journal = {Bratislava medical journal},
   title = {Fasciotomy closure using negative pressure wound therapy in lower leg compartment syndrome.},
   volume = {117},
   year = {2016}
}

TY  - JOUR
ID  - 1361357
AU  - Krtička, Milan - Ira, Daniel - Bilik, A. - Rotschein, P. - Švancara, Jan
PY  - 2016
TI  - Fasciotomy closure using negative pressure wound therapy in lower leg compartment syndrome.
JF  - Bratislava medical journal
VL  - 117
IS  - 12
SP  - 710-714
EP  - 710-714
PB  - Comenius University
SN  - 00069248
KW  - lower leg
KW  - acute compartment syndrome
KW  - NPWT
KW  - split thickness graft
KW  - fasciotomy
KW  - wound closure
N2  - Backround: Fasciotomy wounds can be a major contributor to length of stay for patients as well as a difficult reconstructive challenge. Objectives: To evaluate lower leg fasciotomy wound closure outcomes comparing treatment with combined dressing fabric (COM) and negative pressure wound therapy (NPWT) in combination with elastic dynamic ligature (EDL). Methods: Retrospective study of 63 patients who underwent lower leg fasciotomy due to injury treated from January 2008 to December 2015 at Department of Trauma Surgery, University Hospital Brno. Of these fasciotomy wounds 42 received a NPWT treatment in combination with EDL, 21 were treated only with COM. Fasciotomy wounds were closed either with primary suture or in case of persisting oedema and skin retraction the defect was covered with split thickness skin graft. Results: There was statistically significant higher rate of primary wound closure using the NPWT versus traditional dressing (p=0,015). Median time to definitive wound closure or skin grafting was shorter in NPWT group. Number of dressing changes was lower in the NPWT group (p=0,008). Conclusion: NPWT combined with elastic dynamic ligature offers many advantages for fasciotomy wound closuring in comparison with traditional techniques.
ER  -

KRTIČKA, Milan; Daniel IRA; A. BILIK; P. ROTSCHEIN a Jan ŠVANCARA. Fasciotomy closure using negative pressure wound therapy in lower leg compartment syndrome. \textit{Bratislava medical journal}. Bratislava: Comenius University, 2016, roč.~117, č.~12, s.~710-714. ISSN~0006-9248. Dostupné z: https://doi.org/10.4149/BLL\_{}2016\_{}136.

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