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Tips of the trade #32. Gradual closure of fasciotomy wounds
1Division of Orthopaedic Surgery, University of North Carolina School of Medicine, Chapel Hill.
Abstract:
A technique of gradual closure of fasciotomy wounds is presented. At the time of fasciotomy, staples are placed at the edge of the fasciotomy wound. A large nylon suture is threaded through the staples in a pattern similar to the lacing of a shoe. Postoperatively, this suture is tightened daily; this results in gradual closure of the wounds without further surgery.