在下肢开口骨折中使用减压带技术进行分阶段的伤口关闭,并进行负压伤口治疗:回顾性审查
Yuta Izawa1, Masahiro Nishida2, Kentaro Futamura2
1Department of Trauma Centre, Shonan Kamakura General Hospital, 1370-1 Okamoto, Kamakura, Kanagawa, Japan; Department of Orthopedic Trauma Center, Sapporo Higashi Tokushukai Hospital, Kita 33 Jou Higashi 14 Chome 3-1, Higashiku, Sapporo, Hokkaido, Japan.
概括
用减压带和负压伤口治疗 (NPWT) 进行分阶段的伤口关闭,有效地防止边缘下肢开口骨折的伤口缩. 这种方法减少了IIIA/IIIB类型病例软组织重建的需要.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 伤口愈合 治愈 伤口愈合
背景情况:
- 下肢开口骨折,特别是Gustilo-Anderson型IIIA/IIIB边界病例,在伤口关闭方面存在挑战.
- 在紧张的情况下关闭伤口可能会导致诸如伤口边缘缩和软组织重建的需要等并发症.
研究的目的:
- 通过负压伤口治疗 (NPWT) 使用减压带来阶段性伤口关闭的疗效.
- 为了确定这种技术是否可以防止边缘伤口缩在边缘下肢开口骨折.
主要方法:
- 一项比较研究包括了边缘型IIIA/IIIB下肢开口骨折的患者.
- 患者被分为两组:传统的伤口关闭 (组1) 和分阶段的关闭,使用减压带和NPWT (组2).
- 评估的结果包括伤口边缘缩,软组织重建和感染率.
主要成果:
- 两组之间没有观察到患者或损伤特征的显著差异.
- 1组 (传统关闭) 与2组相比,显示了明显更高的伤口边缘缩率和局部片的需要.
- 两组的感染率在两组之间是可比的.
结论:
- 使用减压带和NPWT进行分阶段的伤口关闭,有效地管理边界型IIIA/IIIB下肢开口骨折.
- 这种技术显著降低了伤口边缘缩,并避免了转化为IIIB型阳性创伤的进展.
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