Delayed Primary Closure of Traumatic Tension Wounds Using Plastic Straps and Kirschner Wires

Area of Science:

• Surgical Innovation
• Trauma Surgery
• Wound Management

Background:

• Wound edge tension is a significant factor in local complications, compromising circulation.
• Effective management of traumatic tension wounds is crucial for successful patient outcomes.
• Delayed primary closure is a viable strategy for managing complex wounds.

Purpose of the Study:

• To present the clinical outcomes of a novel surgical technique for delayed primary closure of traumatic tension wounds.
• To evaluate the efficacy and safety of using plastic straps and Kirschner wires in this technique.
• To highlight the advantages of this method in terms of cost, simplicity, and patient recovery.

Main Methods:

• A technique utilizing plastic straps and Kirschner wires was applied for delayed primary closure in 9 patients with traumatic tension wounds.
• Patient selection was based on wound localization, dimensions, and adjacent soft tissue mobility.
• The leading causes included gunshot injuries, predominantly on lower extremities.

Main Results:

• Successful wound closure and healing were achieved in all 9 patients without serious complications.
• The mean time to primary wound closure was 4.8 days, with a mean hospitalization of 13.5 days.
• The technique demonstrated advantages including low cost, simple equipment, reliable stability, and no donor site morbidity.

Conclusions:

• The presented surgical technique is effective and safe for the delayed primary closure of traumatic tension wounds.
• This method offers significant benefits, including cost-effectiveness, ease of use, and reduced patient recovery time.
• Further research is recommended to assess the long-term cosmetic and functional results.