The "rubber band technique": a simple method for closing large skin defects.

Area of Science:

• Orthopedic Surgery
• Trauma Care
• Wound Management

Background:

• High-energy trauma often results in severe open fractures with significant soft-tissue loss.
• Traditional treatments require multiple surgeries and complex reconstructions for definitive soft-tissue cover.

Purpose of the Study:

• To describe a simple, one-stage technique for treating skin loss in severe open fractures.
• To evaluate the efficacy of the "rubber band technique" in managing extensive soft-tissue defects.

Main Methods:

• A novel "rubber band technique" was employed for wound management.
• The technique allows for continuous wound exposure, drainage, and gradual skin closure via controlled tension.
• Elastic bands facilitate skin mobilization and wound healing.

Main Results:

• The rubber band technique provides continuous drainage and facilitates gradual wound closure.
• It simplifies the management of extensive soft-tissue loss in open fractures.
• The technique allows for easy access to deep tissues if infection is suspected.

Conclusions:

• The "rubber band technique" is a safe, simple, and efficient method for treating extensive soft-tissue loss.
• This approach may reduce the need for repeated surgical procedures in open fracture management.
• It offers a viable alternative for managing complex wounds, including those from open reduction or fasciotomy.