Treatment of soft tissue defect by progressive stretch skin suture technique
10.3760/cma.j.cn114798-20220122-00051
- VernacularTitle:利用分期渐进牵张的皮肤缝合技术治疗软组织缺损的临床观察
- Author:
Yuping LIU
1
;
Zhe XIE
;
Xin WANG
Author Information
1. 武汉大学中南医院创伤与显微骨科，武汉 430071
- Keywords:
Suture techniques;
Soft tissue injuries;
Tissue expansion;
Wound closure techniques
- From:
Chinese Journal of General Practitioners
2022;21(8):743-747
- CountryChina
- Language:Chinese
-
Abstract:
Clinical data of 14 patients with skin and soft tissue defects treated by progressive stretch skin suture (stretch suture) in Zhongnan Hospital of Wuhan University from September 2016 to January 2021 were retrospectively analyzed. There were 10 male and 4 female aged 13-73 years. The ankle and calf were the main defect sites with the defect area ranged from 2-3 cm×2-3 cm to 3-6 cm×5-9 cm. According to the wound skin condition, patients received progressive stretch suture 2-4 times after debridement and anti-infection treatment until the wounds were completely healed. Two patients with fractures underwent skin stretch after fracture fixation with external fixators. There were 4 patients with wound infection, including 2 cases infected with Staphylococcus aureus, 1 with Escherichia coli, and 1 with Enterobacter cloacae, all of whom received antibiotic therapy and infection was controlled and the progressive stretch suture was performed. In 3 patients with severe degloved skin injury, the infection was treated with debridement on the first day, and stretch suture was not performed until the second debridement. The soft tissue defect wound healed completely in 10-23 days, with an average of (17.2±3.8)days. None of the patients had skin necrosis during the stretch suture treatment. The postoperative follow-up time was more than 6 months and the skin softness, sensory function and blood supply of the patients were normal, and the average Vancouver Scar Scale score was 3.1, among whom 9 cases were scored as excellent (0-3 points) and 5 as good (4-7 points). The patients were satisfied with the effect of skin stretch,the study suggests that the progressive stretch skin suture technique is simple and effective in treatment of soft tissue defect.
