Immediate Care of Crush Injuries and Compartment Syndromes With the Split-Thickness Skin Excision

1990 ◽  
Vol &NA; (256) ◽  
pp. 224???228
Author(s):  
ISRAEL ZIV ◽  
AMIR A. ZELIGOWSKI ◽  
OFER ELYASHUV ◽  
RAMI MOSHEIFF ◽  
MENACHEM LILLING ◽  
...  
Keyword(s):  
Compartment Syndromes ◽  
Thickness Skin ◽  
Skin Excision ◽  
Crush Injuries

Split-Thickness Skin Excision: Its Use for Immediate Wound Care in Crush Injuries of the Foot

Foot & Ankle ◽  
1989 ◽  
Vol 10 (2) ◽  
pp. 54-60 ◽  
Author(s):  
Mark Myerson
Keyword(s):  
Wound Care ◽  
Skin Flap ◽  
Free Flaps ◽  
Complete Coverage ◽  
Compartment Syndromes ◽  
Wound Debridement ◽  
Thickness Skin ◽  
Skin Excision ◽  
Crush Injuries ◽  
Skin Coverage

Split-thickness skin excision (STSE) was used as an adjunctive modality in the treatment of eight crush injuries of the foot. Compartment syndromes were present in four feet and were treated with fasciotomy. Wound debridement, internal fixation of fractures, and STSE followed. This technique accurately determined the viability of the skin flap, simultaneously providing skin for local wound coverage. All flaps treated in this manner survived and all (100%) of the degloved STSE grafts healed. Additional procedures were performed in four patients (two free flaps and two split-thickness skin grafts) adjacent to the debrided flap for complete coverage. STSE proved to be an effective modality for skin coverage in crush injuries of the foot associated with degloving of skin.

scholarly journals Missed acute isolated peroneal compartment syndrome

CJEM ◽  
2002 ◽  
Vol 4 (05) ◽  
pp. 355-358 ◽  
Author(s):  
Sudesh Ebenezer ◽  
William Dust
Keyword(s):  
Compartment Syndrome ◽  
Common Peroneal Nerve ◽  
Lateral Compartment ◽  
Minor Trauma ◽  
Compartment Syndromes ◽  
Common Peroneal Nerve Palsy ◽  
Crush Injuries ◽  
A Minor ◽  
Physical Findings ◽  
Prompt Diagnosis

ABSTRACT:This paper outlines 3 cases of acute isolated peroneal (lateral) compartment syndrome following exertion, minor trauma or overuse. Compartment syndromes are usually associated with crush injuries or fractures; they are an uncommon development following minor trauma or overuse. In acute isolated peroneal compartment syndrome the diagnosis is often delayed, resulting in permanent impairment. Persistent or worsening pain following a minor injury or overuse is typical, and the initial physical findings are often nonspecific, although swelling and tenderness out of proportion to the described injury are common. Marked increase in pain with passive inversion and dorsiflexion of the ankle should suggest the diagnosis. In cases that present late or where the diagnosis is initially missed, there is often a common peroneal nerve palsy. As with all compartment syndromes, prompt diagnosis and surgical decompression is necessary to prevent permanent impairment.

scholarly journals Hyperdry human amniotic membrane application as a wound dressing for a full-thickness skin excision after a third-degree burn injury

2020 ◽  
Vol 8 ◽  
Author(s):  
Jiro Oba ◽  
Motonori Okabe ◽  
Toshiko Yoshida ◽  
Chika Soko ◽  
Moustafa Fathy ◽  
...  
Keyword(s):  
Granulation Tissue ◽  
Burn Injury ◽  
Burn Injuries ◽  
Full Thickness ◽  
Severe Burn ◽  
Full Thickness Skin ◽  
Thickness Skin ◽  
Degree Burn ◽  
Skin Excision ◽  
Severe Burn Injuries

Abstract Background Severe burn injuries create large skin defects that render the host susceptible to bacterial infections. Burn wound infection often causes systemic sepsis and severe septicemia, resulting in an increase in the mortality of patients with severe burn injuries. Therefore, appropriate wound care is important to prevent infection and improve patient outcomes. However, it is difficult to heal a third-degree burn injury. The aim of this study was to investigate whether hyperdry human amniotic membrane (HD-AM) could promote early granulation tissue formation after full-thickness skin excision in third-degree burn injury sites in mice. Methods After the development of HD-AM and creation of a third-degree burn injury model, the HD-AM was either placed or not placed on the wound area in the HD-AM group or HD-AM group, respectively. The groups were prepared for evaluation on postoperative days 1, 4 and 7. Azan staining was used for granulation tissue evaluation, and estimation of CD163, transforming growth factor beta-1 (TGF-β1), vascular endothelial growth factor (VEGF), CD31, alpha-smooth muscle actin (α-SMA) and Iba1 expression was performed by immunohistochemical staining. Quantitative reverse-transcription polymerase chain reaction (PCR) was used to investigate gene expression of growth factors, cell migration chemokines and angiogenic and inflammatory markers. Results The HD-AM group showed significant early and qualitatively good growth of granulation tissue on the full-thickness skin excision site. HD-AM promoted early-phase inflammatory cell infiltration, fibroblast migration and angiogenesis in the granulation tissue. Additionally, the early infiltration of cells of the immune system was observed. Conclusions HD-AM may be useful as a new wound dressing material for full-thickness skin excision sites after third-degree burn injuries, and may be a new therapeutic technique for improving the survival rate of patients with severe burn injuries.

CHITOSAN/SULFATED GRIFOLA FRONDOSA POLYSACCHARIDE HYBRID SPONGE ACCELERATED WOUND HEALING

2014 ◽  
Vol 26 (05) ◽  
pp. 1450049
Author(s):  
Aibin Huang ◽  
Along Zou ◽  
Xiaofeng Liu
Keyword(s):  
Wound Healing ◽  
Biomedical Application ◽  
Water Soluble ◽  
Grifola Frondosa ◽  
Control Group ◽  
Accelerate Wound Healing ◽  
Thickness Skin ◽  
Skin Excision ◽  
And Function ◽  
Testing Group

The essential role and function of a dressing is to provide an environment that promotes wound healing. In this study, the development and characterization of novel polymer hybrid sponge based on chitosan-Grifola frondosa polysaccharide and cross-linked by freeze-thaw method for possible use in a variety of biomedical application is reported. A water-soluble sulfated derivative G. frondosa polysaccharide was obtained from G. frondosa polysaccharide with 98% of concentrated sulfuric acid. To make effective wound healing accelerator, a chitosan/sulfated G. frondosa polysaccharides hybrid sponge was prepared. To evaluate the wound healing effect, full thickness skin excision was performed on the backs of the rats and then the sponge was applied in the wounds, respectively. After 7 days and 14 days, gross and histological examination was performed. Grossly, untreated control group revealed that the wound had well-defined margin and was covered by crust. The testing group treated with sponge appeared to be nearly completely healed. Histology of each group was well correlated to gross findings. The testing group shows nearly complete regeneration of appendage structure similar to normal in the dermis in contrast to control group with absence and less number of skin appendages. It hints that the sponge can accelerate wound healing. The result indicates that the chitosan/sulfated G. frondosa polysaccharide hybrid sponge is a promising dressing for wound healing.

Epidermal Nevus: Surgical Treatment by Partial-thickness Skin Excision

1992 ◽  
Vol 28 (3) ◽  
pp. 292-296 ◽  
Author(s):  
A Lee Dellon ◽  
Ron Luethke ◽  
Leslie Wong ◽  
Nancy Barnett
Keyword(s):  
Surgical Treatment ◽  
Epidermal Nevus ◽  
Partial Thickness ◽  
Thickness Skin ◽  
Skin Excision

Crush Injuries of the Foot with Compartment Syndrome: Immediate One-Stage Management

Foot & Ankle ◽  
1989 ◽  
Vol 9 (4) ◽  
pp. 185-189 ◽  
Author(s):  
I. Ziv ◽  
R. Mosheiff ◽  
A. Zeligowski ◽  
M. Liebergal ◽  
J. Lowe ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Skin Flap ◽  
Tarsal Tunnel ◽  
One Stage ◽  
Flap Viability ◽  
Thickness Skin ◽  
Skin Loss ◽  
Crush Injuries ◽  
High Index Of Suspicion ◽  
Compartment Pressures

Severe crush injuries with compartment syndrome were treated in five patients by an immediate one-stage procedure. This procedure included the assessment of skin flap viability with accurate debridement of devascularized tissues. It was performed according to the split-thickness skin excision technique. Compartment pressures were measured and the fasciotomies were performed through open wounds or separate medial and lateral incisions. The medial incision was extended to release the tarsal tunnel. Fractures were reduced and internally fixed and exposed bones were covered with locally transposed muscles. Skin grafts, taken earlier for the skin viability assessment, were meshed and applied to replace skin loss. All wounds and fractures healed uneventfully with no major functional loss. In multiple trauma, the physician should maintain a high index of suspicion for early diagnosis and treatment of severe foot injuries. Early treatment leads to more desirable results, shorter hospitalization, and faster rehabilitation.

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