The use of a silicon sheet for gradual wound closure after fasciotomy.

Walker, Tobias; Gruler, Miriam; Ziemer, Gerhard; Bail, Dorothee H L · J Vasc Surg · 2012

case_series · Level IV

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Abstract

We present a silicon sheet for temporary wound covering and gradual wound closure after open fasciotomy. Fasciotomy was performed in a total of 70 limbs with compartment syndrome (CS). The main etiology of CS was predominantly vascular. All patients were treated with a silicon sheet to cover the soft tissue defect and gradually reapproximate the skin margins. In 53% of the patients, a delayed final wound closure was achieved after a mean of 11.9 days. This method allows final closure of fasciotomy wounds without scar contractures, marginal necrosis, infection, or significant pain.

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