1.Arthroscopic Reduction and Transportal Screw Fixation of Acetabular Posterior Wall Fracture: Technical Note.
Jin Young PARK ; Woo Chull CHUNG ; Che Keun KIM ; Soon Ho HUH ; Se Jin KIM ; Bo Hyun JUNG
Hip & Pelvis 2016;28(2):120-126
Acetabular fractures can be treated with variable method. In this study, acetabular posterior wall fracture was treated with arthroscopic reduction and fixation using cannulated screw. The patient recovered immediately and had a satisfactory outcome. In some case of acetabular fracture could be good indication with additional advantages of joint debridement and loose body removal. So, we report our case with technical note.
Acetabulum*
;
Debridement
;
Humans
;
Joints
;
Methods
3.The Treatment of Infected Nonunited Fractures of Long Bone
Keun Woo KIM ; Jae Won LEE ; Kil Yeong AHN
The Journal of the Korean Orthopaedic Association 1989;24(3):794-805
Many difficult problems are encountered in the treatrnent of infected nonunion of long bone. To solve these difficult fractures, authors adopted an active approach-thorough debridement of the infected and necrotic soft tissue and bone, rigid internal fixation with autogenous cancellous bone graft and opening of the wound to ensure continuous drainage until union of the fracture. Authors treated 28 cases of infected nonunions with this method from Mar. 1980 to Feb. 1989, and the results are as follows ;1. Femur(54%) and tibia(43%) were most frequently involved sites. 2. Most of the cases(86%) were treated by rigid internal fixation and cancellous bone graft. 3. In most cases(64%), infection was controlled spontaneously by the time of bony union, but in 5 cases which showed persistent drainage, implant removal controlled the problem, and residual soft tissue and bony defect were solved by Papineau's technique or musculocutaneous flap. 4. Revision was required in 5 cases(18%) because of insercure fixation. 5. Union could be obtained in average 4.8 months, and infection could be controlled in all except 1 case.
Debridement
;
Drainage
;
Methods
;
Myocutaneous Flap
;
Transplants
;
Wounds and Injuries
4.Treatment of high-pressure paint injection injuries of hand with debridement combined with vacuum sealing drainage technique.
Qing CHEN ; Deng-sheng LIU ; Wei HU ; Ya-ming LI ; Shi-qing LIU
China Journal of Orthopaedics and Traumatology 2011;24(10):851-853
OBJECTIVETo explore the effects of debridement combined with vacuum sealing drainage (VSD) technique in treatment of high-pressure paint injection injuries of hand.
METHODSFrom April 2005 to August 2010,14 patients with high-pressure paint injection injuries of hand were treated with debridement and VSD technique within 6 hours after injury. All the patients were male,ranging in age from 23 to 47 years with an average of 36.5 years. All injuries occurred left hand,thumb injured in 5 cases,index finger in 3 cases, middle finger in 2 cases and palm in 4 cases. Injured hands swelled obviously with poor blood circulation. When the wounds were covered with fresh granulation tissue without inflammatory effusion after operation of 3-4 times, the skingrafting (9 cases) or transfer flap (5 cases) were done on the wounds.
RESULTSAll the patients were followed up from 8 to 16 months with an average of 12 months. All the wounds obtained good healing. Therapeutic effects were estimated according to TAM criteria, 7 cases were excellent,6 good and 1 fair.
CONCLUSIONIn high-pressure paint injection injuries of hands,debridement combined with VSD technique can avoid wound infection,promote the growth of granulation tissue. It is beneficial to wound healing.
Adult ; Debridement ; methods ; Drainage ; methods ; Hand Injuries ; surgery ; Humans ; Injections ; Male ; Middle Aged ; Paint
5.Closure of cystic cavity-type bedsore by subcutaneous undermining dissection with continuous negative pressure drainage.
Jiang LI ; Xiao-Ping GUO ; Ke-Hua WANG ; Dong-Hong ZHAO ; Tong HAN ; Yu-Hong LANG ; Li-Jun PENG
Chinese Journal of Plastic Surgery 2012;28(2):113-115
OBJECTIVETo investigate the clinical effect of subcutaneous undermining dissection with continuous negative pressure drainage for the closure of cystic cavity-type bedsore.
METHODS12 patients with cystic cavity-type bedsore underwent surgical debridement and the wounds were closed after subcutaneous undermining dissection. The negative pressure drainage was put in the deep space. The healing process was observed.
RESULTSCompleted healing was achieved in all the 12 cases. The skin wounds healed after 17-20 days and the deep spaces closed after 36-43 days. 12 cases were followed up for 1 year with no occurrence.
CONCLUSIONSIt is an easy and effective method to treat cystic cavity -type bedsore by subcutaneous undermining dissection with continuous negative pressure drainage.
Debridement ; methods ; Drainage ; methods ; Humans ; Negative-Pressure Wound Therapy ; Pressure Ulcer ; surgery ; Wound Healing
6.Basic principles,methods and evaluation of minimally invasive treatment for infected pancreatic necrosis.
Chinese Journal of Surgery 2023;61(1):13-17
Infected pancreatic necrosis(IPN) is the main surgical indication of acute pancreatitis. Minimally invasive debridement has become the mainstream surgical strategy of IPN,and it is only preserved for IPN patients who are not response for adequate non-surgical treatment. Transluminal or retroperitoneal drainage is preferred,and appropriate debridement can be performed. At present,it is reported that video assisted transluminal,trans-abdominal and retroperitoneal approaches can effectively control IPN infection. However,in terms of reducing pancreatic leakage and other complications,surgical and endoscopic transgastric debridement may be the future direction in the treatment of IPN.
Humans
;
Pancreatitis, Acute Necrotizing/complications*
;
Acute Disease
;
Debridement/methods*
;
Endoscopy/methods*
;
Drainage/methods*
;
Intraabdominal Infections/complications*
;
Treatment Outcome
7.Laparoscopic transgastric necrosectomy in treatment of wall-off pancreatic necrosis.
Chinese Journal of Surgery 2022;60(5):432-435
Mini-invasive surgical or endoscopic step-up approach is the first choice of pancreatic necrosectomy for infected wall-off necrosis. Surgical debridement has the advantage of high efficiency,low cost and good accessibility,while the complication rate of pancreatic fistula and incision hernia after endoscopic necrosectomy is low.Laparoscopic transgastric necrosectomy(LTGN) can combine the advantages of surgical and endoscopic debridement,and may become one of the important methods for the surgical treatment of necrotizing pancreatitis in the future. This paper focuses on the technical advantages,surgical points,indications and application status of LTGN,so as to provide reference for the technical promotion.
Debridement/methods*
;
Drainage/methods*
;
Humans
;
Laparoscopy/methods*
;
Necrosis/complications*
;
Pancreatitis, Acute Necrotizing/surgery*
;
Tomography, X-Ray Computed
;
Treatment Outcome
8.Surgical Treatment of the Primary Osteoarthritis of the Elbow: Open vs. Arthroscopy.
Journal of the Korean Society for Surgery of the Hand 2017;22(2):73-80
The characteristic of primary osteoarthritis of the elbow is marginal osteophyte and loose body formation with relatively preserving cartilage, manifesting as a painful and limited motion arc. In moderate degenerative changes, a debridement that remove the bony impingement as a basis of the surgical treatment can be performed by arthroscopic as well as open procedure. This article tries to suggest the indication of arthroscopic or open procedure by comparative analyzing the advantages and disadvantages of each method. As a result, arthroscopic procedure may be recommended when the range of motion is greater than 100° and main symptom is pain, on the other hand open debridement may be recommended when the range of motion is less than 100°, main symptom is limited motion, especially further flexion and ulnar neuropathy is accompanied.
Arthroscopy*
;
Cartilage
;
Debridement
;
Elbow*
;
Hand
;
Methods
;
Osteoarthritis*
;
Osteophyte
;
Range of Motion, Articular
;
Ulnar Neuropathies
9.The Clinical Status and Process of Hydrosurgery System.
Fan BI ; Ruiyao JIANG ; Hongyan ZHANG ; Yunxin ZHENG ; Bin LI
Chinese Journal of Medical Instrumentation 2018;42(1):46-48
This paper reviews the principle and clinical application of hydrosurgery system, including the burn debridement, diabetic foot wounds debridement and other trauma debridement. Meanwhile, this paper introduces the development direction of waterjet technology. Furthermore, the safety, effectiveness and suitability can be discussed.
Burns
;
therapy
;
Debridement
;
methods
;
Foot Ulcer
;
therapy
;
Humans
;
Hydrotherapy
;
Treatment Outcome
;
Wound Healing
10.Application and clinical efficacy of ultrasound debridement method in residual burn wounds.
Ze Liang HE ; Jin LI ; Zhen Yang SUI ; Ju Lei ZHANG ; Liang En AN ; Ling Ling LIU ; Cheng Liang ZHANG ; Yuan Yuan YAO ; Shu Lin QIU ; Xiao Dong LI
Chinese Journal of Burns 2022;38(11):1034-1039
Objective: To investigate the application and clinical efficacy of ultrasound debridement method in residual burn wounds. Methods: A retrospective cohort study was conducted. From August 2017 to August 2021, 64 patients with residual burn wounds who met the inclusion criteria were admitted to the 980th Hospital of the Joint Logistic Support Force of PLA. According to the debridement method adopted for the residual wounds, the patients were divided into ultrasound debridement group (34 cases, 22 males and 12 females, aged (31±13) years) and traditional debridement group (30 cases, 19 males and 11 females, aged (32±13) years). After the corresponding debridement, the wounds of patients in the two groups were selected for stamp skin grafting or large skin grafting according to the wound site and skin donor status. For unhealed wounds after stage Ⅰ surgery, secondary debridement and skin grafting were be performed, with the wound debridement methods in the 2 groups being the same as those of stage Ⅰ, respectively. On postoperative day 3, drug-sensitive test was used to detect the bacteria in the wound and the positive rate of bacteria was calculate. On postoperative day 7, the survival rate of skin slices in wound and the incidence of subcutaneous hematoma were calculated. At discharge, wound healing time and debridement times of patients were counted, and the secondary debridement rate was calculated. Data were statistically analyzed with independent sample t test or chi-square test. Results: On postoperative day 3, the wounds in ultrasound debridement group were infected with Staphylococcus aureus in 2 cases and Pseudomonas aeruginosa in 2 cases, and the wounds in traditional debridement group were infected with Staphylococcus aureus in 5 cases, Pseudomonas aeruginosa in 3 cases, Acinetobacter baumannii in 1 cases, Klebsiella pneumoniae in 1 cases, and Enterobacter cloacae in 1 cases. The positive rate of bacteria of wound in ultrasound debridement group was significantly lower than that in traditional debridement group (χ2=5.51, P<0.05). On postoperative day 7, the survival rate of skin grafts in ultrasound debridement group was (92±5) %, which was significantly higher than (84±10) % in traditional debridement group (χ2=6.78, P<0.01); the incidence of subcutaneous hematoma in ultrasound debridement group was 17.6% (6/34), which was significantly lower than 40.0%( 12/30) in traditional debridement group, χ2=3.94, P<0.05. At discharge, the wound healing time in ultrasound debridement group was (11.0±2.0) d, which was significantly shorter than (13.0±3.1) d in traditional debridement group (t=3.81, P<0.01); the secondary debridement rate of wounds in ultrasound debridement group was 2.9% (1/34), which was significantly lower than 20.0% (6/30) in traditional debridement group (χ2=4.76, P<0.05). Conclusions: Ultrasound debridement method can significantly reduce the bacterial load of residual burn wounds, reduce postoperative hematoma formation, and promote the survival of skin grafts to shorten the course of disease of patients.
Male
;
Female
;
Humans
;
Debridement/methods*
;
Retrospective Studies
;
Treatment Outcome
;
Bacteria
;
Burns/microbiology*
;
Hematoma