Three-step sequential method for limb skin and soft tissue defect combined with bone or tendon exposed wound.
10.3969/j.issn.1003-0034.2019.08.013
- Author:
Wei-Bin DU
1
;
Li-Xiang WANG
2
,
3
;
Guo-Ming WU
1
;
Liang XU
1
;
Feng SHEN
1
;
Lin-Ru ZENG
1
Author Information
1. Department of Orthopaedics, Jiangnan Hospital Affiliated to Zhejiang University of Chinese Medicine, Hangzhou 311201, Zhejiang, China.
2. Department of Orthopaedics, Jiangnan Hospital Affiliated to Zhejiang University of Chinese Medicine, Hangzhou 311201, Zhejiang, China
3. 123456789q002@sina.com.
- Publication Type:Journal Article
- Keywords:
Drainage;
Extremities;
Skin transplantation;
Soften tissue injury
- MeSH:
Adult;
Aged;
Female;
Humans;
Male;
Middle Aged;
Reconstructive Surgical Procedures;
Skin Transplantation;
Soft Tissue Injuries;
Surgical Flaps;
Tendons;
Treatment Outcome;
Young Adult
- From:
China Journal of Orthopaedics and Traumatology
2019;32(8):742-745
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore clinical effect of VSD technology, coverage of artificial dermis and autograft for the treatment of limb skin soft tissue defect combined with bone or tendon exposed wound.
METHODS:Eighteen patients suffered from limb skin soft tissue defect combined with bone or tendon exposed wound treated by three-step sequential method from January 2013 to June 2015. Among them, including 13 males and 5 females aged from 23 to 72 years old with an average of 34.6 years old; the time from injury to operation ranged from 1.5 to 5.0 hours with an average of 2.5 h. The area of skin and soft tissue injury ranged from 4.2 cm×3.1 cm to 7.4 cm×5.2 cm. Wound recovery and taken skin wound recovery were observed to evaluate clinical results.
RESULTS:All patients were followed up from 5 to 16 months, with an average of 7.6 months. Deep bone tendon tissue of wounds were effectively recovered, artificial dermis survived, and quality of healed wound was tough and shape was good. Wound transplant flap was survived, no obvious scar tissue formation, appearance was flat, skin color was a little deeper than normal skin, the overall effect was satisfactory.
CONCLUSIONS:Three-step sequential method has good curative effect for patients suffered from limb skin soft tissue defect with bone or tendon exposed wound and refused to repair the flap, and has advantage of simple operation, operation risk, less invasive.
