Shoe-Lace Technique Hasten Delayed Primary Closure In Fasciotomy Wound For Forearm Compartment Syndrome

Mohd Asha'ari Bain; Mohd Shaffid Md Shariff; Mohamad Hilmi  Mohamad Nazarallah; Nur Dina Azman; Abu 'Ubaidah Amir Norazmi

doi:10.33102/mjosht.v7i2.189

Authors

Mohd Asha'ari Bain Orthopaedics Unit, Surgical-Based Department, Faculty of Medicine And Health Sciences, Universiti Sains Islam Malaysia, Negeri Sembilan, Malaysia
Mohd Shaffid Md Shariff Orthopaedics Unit, Surgical-Based Department, Faculty of Medicine And Health Sciences, Universiti Sains Islam Malaysia, Negeri Sembilan, Malaysia
Mohamad Hilmi Mohamad Nazarallah Orthopaedics Unit, Surgical-Based Department, Faculty of Medicine And Health Sciences, Universiti Sains Islam Malaysia, Negeri Sembilan, Malaysia
Nur Dina Azman Orthopaedics Unit, Surgical-Based Department, Faculty of Medicine And Health Sciences, Universiti Sains Islam Malaysia, Negeri Sembilan, Malaysia
Abu 'Ubaidah Amir Norazmi Orthopaedics Unit, Surgical-Based Department, Faculty of Medicine And Health Sciences, Universiti Sains Islam Malaysia, Negeri Sembilan, Malaysia

DOI:

https://doi.org/10.33102/mjosht.v7i2.189

Keywords:

shoelace closure, fasciotomy, compartment syndrome

Abstract

We report a case of acute compartment syndrome of the forearm in a 51-year-old man with open fracture distal third radius (Gustilo I). Decompressive fasciotomy was performed promptly. Complete progressive closure of the wound without split-thickness skin grafting was achieved using a shoe-lace technique: silastic vessel loop were interlaced held together with skin staplers placed at the edge of the fasciotomy wound and were then tightened daily. Delayed primary closure of the fasciotomy wound was performed after 8 days post fasciotomy with complete opposition of skin edges without tension. Shoelace closure is a good option for atraumatic fasciotomy wound closure with good cosmesis result.

Downloads

Download data is not yet available.

References

Whitesides, T. E., Haney, T. C., Morimoto, K., & Harada, H. (1975). Tissue pressure measurements as a determinant for the need of fasciotomy. Clinical orthopaedics and related research, (113), 43-51.

MLIBARAK, S. J., GARETTO, L. P., & AKESON, W. H. (1978). Acute Compartment Syndromes: Diagnosis and Trea {ment with the Aid of the Wick Catheter.

Allen, M. J., Stirling, A. J., Crawshaw, C. V., & Barnes, M. R. (1985). Intracompartmental pressure monitoring of leg injuries. An aid to management. The Journal of bone and joint surgery. British volume, 67(1), 53-57.

Köstler, W., Strohm, P. C., & Südkamp, N. P. (2005). Acute compartment syndrome of the limb. Injury, 36(8), 992-998.

Baum, T. P., & Strauch, B. (1999). Delayed primary closure using Silastic vessel loops and skin staples: description of the technique and case reports. Annals of Plastic Surgery, 42(3), 337-340.

Fitzgerald, A., Wilson, Y., Quaba, A., Gaston, P., & McQueen, M. (2000). Long-term sequelae of fasciotomy wounds. British journal of plastic surgery, 53(8), 690-693.

Saini, R. A., Sharma, D., & Shah, N. (2018). Shoelace technique, a simple and less expensive method for Fasciotomy wound closure following compartment syndrome. Int J Orthop Sci, 4, 445-9.

Eid, A., & Elsoufy, M. (2012). Shoelace wound closure for the management of fracture-related fasciotomy wounds. International Scholarly Research Notices, 2012.

Arumugam, P. K., Muthukumar, V., & Bamal, R. (2021). Utility of Shoelace Technique in Closure of Fasciotomy Wounds in Electric Burns. Journal of Burn Care & Research, 42(3), 538-544.

Jauregui, J. J., Yarmis, S. J., Tsai, J., Onuoha, K. O., Illical, E., & Paulino, C. B. (2017). Fasciotomy closure techniques: A meta-analysis. Journal of Orthopaedic Surgery, 25(1), 2309499016684724.