Adjustable, Skin-Stretching External Fixation Device and Negative Pressure Wound Therapy Application for Infected Full-Thickness Skin Defects: A Case Series Study

2021 ◽  
Vol 33 (7) ◽  
pp. 178-184
Author(s):  
Ye Peng ◽  
Wei Zhang ◽  
Faran Bokhari ◽  
Zuo Cao ◽  
Gongzi Zhang ◽  
...  
Keyword(s):  
External Fixation ◽  
Negative Pressure Wound Therapy ◽  
Case Series ◽  
Healing Time ◽  
Full Thickness ◽  
Fixation Device ◽  
Wound Therapy ◽  
Skin Defects ◽  
Skin Stretching ◽  
External Fixation Device

Introduction. Skin defects—especially infected, massive full-thickness defects—can be challenging to manage. Traditionally, defects are repaired using free flaps or musculocutaneous flaps. Many side effects and complications are associated with flaps, however, such as infection, pain, donor site pain, and poor cosmesis. Objective. This case series evaluates the use of an adjustable, skin-stretching external fixation device and negative pressure wound therapy (NPWT) to repair soft tissue defects. Materials and Methods. In this retrospective series, 7 patients with skin defects were treated with an adjustable, skin-stretching external fixation device and NPWT between January 2014 and December 2017. All patients were followed until complete healing was achieved. Each patient’s age, sex, defect size, mechanism of injury, healing time, results, and complications were recorded. Results. The average patient age was 37.43 years ± 10.47 SD (range, 26–55 years). The average skin defect area was 14.5 cm2 ± 5.26 * 23.25 ± 9.01 cm2 (range, 7–15 cm2 * 10–30 cm2), and average healing time was 3.29 months ± 1.60 (range, 1–6 months). All defects healed, and 2 patients developed ulcers. Conclusions. This series showed the adjustable, skin-stretching external fixation device and NPWT to be a simple, safe, and effective means of managing skin defects, with minimal complications.

Negative Pressure Wound Therapy and External Fixation Device

2014 ◽  
Vol 28 (7) ◽  
pp. e176-e177 ◽  
Author(s):  
Antonio Bulla ◽  
Francesco Farace ◽  
André-Pierre Uzel ◽  
Vincent Casoli
Keyword(s):  
External Fixation ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Fixation Device ◽  
Wound Therapy ◽  
External Fixation Device

scholarly journals Severe degloving injury of the sole and heel treated by a reverse flow sural artery neurofasciocutaneous flap and a modified off-loading external fixation device

Injury Extra ◽  
2007 ◽  
Vol 38 (5) ◽  
pp. 187-192 ◽  
Author(s):  
Thomas Zgonis ◽  
Douglas T. Cromack ◽  
Thomas S. Roukis ◽  
Joann Orphanos ◽  
Vasilios D. Polyzois
Keyword(s):  
External Fixation ◽  
Reverse Flow ◽  
Fixation Device ◽  
Degloving Injury ◽  
External Fixation Device ◽  
Sural Artery

Negative pressure wound therapy using polyvinyl alcohol foam to bolster full-thickness mesh skin grafts in dogs

2017 ◽  
Vol 46 (3) ◽  
pp. 389-395 ◽  
Author(s):  
Matan Or ◽  
Bart Van Goethem ◽  
Adriaan Kitshoff ◽  
Annika Koenraadt ◽  
Ilona Schwarzkopf ◽  
...  
Keyword(s):  
Polyvinyl Alcohol ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Skin Grafts ◽  
Full Thickness ◽  
Wound Therapy

659 Non-Burn Etiologies Treated with Autologous Skin Cell Suspension: A Case Series Demonstrating the Efficacy in Complex Wounds

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S195-S195
Author(s):  
Nicole M Kopari ◽  
Yazen Qumsiyeh
Keyword(s):  
Soft Tissue ◽  
Cell Suspension ◽  
Negative Pressure ◽  
Wound Closure ◽  
Negative Pressure Wound Therapy ◽  
Case Series ◽  
Dermal Substitute ◽  
Wound Therapy ◽  
Skin Cell ◽  
Complex Wounds

Abstract Introduction Complex wounds (CW) resulting from necrotizing soft tissue infections (NSTIs) and soft tissue traumatic injuries create unique challenges. Radical debridement is often the first step in management but can result in disfigurement with impaired function and compromised cosmesis. The standard of care at our institution for full-thickness burn injuries of similar complexity is widely meshed autografting with application of autologous skin cell suspension (ASCS). Our study is a case series reviewing outcomes using ASCS for CW from non-burn etiology. Methods A retrospective chart review from March 2019 through July 2020 was performed to evaluate the effectiveness of ASCS and widely meshed autografting in CW. Patients presenting with CW underwent serial excisions of devitalized tissue by acute care and burn surgeons. Dermal substitute utilization for wound preparation was at the discretion of the surgeon. Definitive wound closure was achieved using ASCS in combination with a widely meshed autograft. The wounds were covered with a non-adherent, non-absorbent, small pore primary dressing along with bismuth-impregnated, petroleum-based gauze or negative pressure wound therapy dependent on wound bed contour. Further padding with gauze was applied along with compressive dressing. Results In total, 8 patients with CW were included in this review. The mean age was 58 years (range 27-85) with an equal number of males and females. Wound etiology included NSTI (n=5), degloving injury (n=2), and traumatic amputation (n=1). The average wound size measured 1,300cm2 (range 300-3,000). 50% of the patients were treated with a dermal substitute and negative pressure wound therapy prior to ASCS and autograft placement. 7 of 8 patients received split-thickness skin grafting in the ratio of 3:1 with one patient grafted at a 2:1 expansion. 7 of the 8 patients had >90% wound closure within 8-10 days of ASCS and autograft application. One patient had significant graft failure after removing surgical dressings and autograft in the early post-operative period secondary to dementia. One patient expired during the follow-up period secondary to medical comorbidities. The 6 remaining patients had durable wound closure and acceptable cosmetic outcome. All patients were discharged within 10 days of ASCS application with 4 patients discharging home and 4 patients discharging to an acute inpatient rehabilitation. Conclusions This study is the first case series to review ASCS in combination with widely meshed skin grafts in the management of CW from a non-burn etiology. Durable, timely wound closure and an acceptable cosmetic outcome was achieved in these often-challenging CW.

scholarly journals Version of Surgical Tactics for Spondyloptosis Treatment

2011 ◽  
Vol 18 (3) ◽  
pp. 22-26
Author(s):  
Asker Alievich Afaunov ◽  
A V Kuz'menko ◽  
I V Basankin ◽  
A A Afaunov ◽  
A V Kuz'menko ◽  
...  
Keyword(s):  
External Fixation ◽  
Clinical Results ◽  
Lumbosacral Spine ◽  
Spine Deformity ◽  
Fixation Device ◽  
Trunk Balance ◽  
External Fixation Device ◽  
Surgical Tactics ◽  
Complications Rate ◽  
Technical Simplification

Tactics of surgical treatment of spondyloptosis including use of transpedicular external fixation device is presented. There were 4 patients with L5 spondyloptosis. The tactics is characterized by minor traumatization of lumbosacral spine with external fixation device, decrease of neurologic complications rate owing to gradual L5 reduction, possibility of spine deformity elimination, significant technical simplification of internal transpedicular osteosynthesis performance. Clinical results showed normalization of anatomic interrelation in lumbosacral spine, elimination of vertebroradicular conflict, restoration of trunk balance and anthropometric proportion as well as stabilization of L5-S1 segment by osteo-metalic block.

Negative-Pressure Wound Therapy and External Fixation for Infection and Hematoma After Hallux Abducto Valgus Surgery

2007 ◽  
Vol 97 (5) ◽  
pp. 410-414 ◽  
Author(s):  
Edward Ferdinando ◽  
Laura Guerin ◽  
Aluko O. Jervis ◽  
Henrietta Obidigbo
Keyword(s):  
Soft Tissue ◽  
External Fixation ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Early Recognition ◽  
Metatarsophalangeal Joint ◽  
Postoperative Phase ◽  
Soft Tissue Coverage ◽  
Wound Therapy ◽  
First Metatarsophalangeal Joint

Hematoma refers to the collection or extravasation of blood, usually clotted, in a closed tissue space. It is caused by leakage from local vessels damaged by blunt trauma, local injury, or surgical dissection. In the postoperative phase, a hematoma often results in edema, pain, wound dehiscence, infection, and scarring of the surgical wound. We describe a 44-year-old woman who developed severe complications, including hematoma, abscess, failure of internal fixation, and loss of soft-tissue structures, after hallux abducto valgus surgery. Hospitalization was required for infection control, soft-tissue coverage through negative-pressure wound therapy, and first metatarsophalangeal joint stabilization through external fixation. Early recognition of the signs of infection and hematoma can help decrease the incidence of postoperative complications. (J Am Podiatr Med Assoc 97(5): 410–414, 2007)

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