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A novel sequential suturing technique effectively closes fasciotomy wounds using skin viscoelasticity. This method achieved 100% wound healing in patients with acute compartment syndrome, demonstrating reliable results with low complication risk.

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Area of Science:

  • Orthopaedic Surgery
  • Wound Healing
  • Biomedical Engineering

Background:

  • Fasciotomy wounds, often resulting from acute compartment syndrome, present challenges for primary closure.
  • Existing techniques leverage the viscoelastic properties of the integument to facilitate wound closure.
  • Delayed primary closure (DPC) is a common approach for managing these complex wounds.

Purpose of the Study:

  • To evaluate the efficacy and safety of a novel sequential suturing technique for closing fasciotomy wounds.
  • To assess the wound healing outcomes and complication rates associated with this technique.

Main Methods:

  • A retrospective chart review of 17 fasciotomy incisions in 8 male patients (mean age 40 years) treated for acute compartment syndrome.
  • Wounds were closed using delayed primary closure (DPC) with the novel sequential suturing technique.
  • Data collected included wound dimensions, time to closure, healing time, and follow-up duration.

Main Results:

  • All 17 wounds achieved complete healing.
  • The mean time to closure after fasciotomy was 3.9 days.
  • Mean wound healing time was 18.3 days, with a mean follow-up of 21 weeks.
  • The technique demonstrated a low risk of major complications.

Conclusions:

  • The novel sequential suturing technique is a reliable method for achieving closure of fasciotomy wounds.
  • This approach resulted in 100% wound healing in the studied cohort.
  • Judicious application of this technique can yield excellent results in selected patients requiring fasciotomy wound management.