Therapy-Based Shoelace Knot Technique For Reliable Closure

fshoelacetechniqueplus NICEknotsequential treatment of difficulty in woundclosurefollowing a fasciotomy with satisfactory clinica Methods: We retrospectively reviewed a case of a patient with woundclosurefollowing a fasciotomy and reviewed the relevant literature.

We considered theshoelacetechniqueto be a useful woundclosuremethod for fasciotomy wounds caused by compartment syndrome because it can significantly reduce the need for skin grafting and tends to shorten the woundclosureperiod.

Because fasciotomy incisions do not result in skin loss, the authors hypothesized that betterclosurecan be achieved by reducing tissue edema with negative-pressure woundtherapy(NPWT) and reducing stress on the skin with theshoelacesurgicaltechnique.

As we can see from the illustration, Therapy-Based Shoelace Knot Technique For Reliable Closure has many fascinating aspects to explore.

The use of theshoe-lacetechniquewas compared to conventional one (in which wounds were first left open with moist dressings). Main outcome measurement is directclosureof fasciotomy wounds. Results: From 359 consecutive patients with intramedullary nailed tibia fracture, fasciotomy was performed on 68 (19%) patients.

Because fasciotomy incisions do not result in skin loss, the authors hypothesized that betterclosurecan be achieved by reducing tissue edema with negative-pressure woundtherapy(NPWT) and reducing stress on the skin with theshoelacesurgicaltechnique. Methods

Theshoelaceapparatus used forclosureconsisted of one or two paediatric urinary catheter, plus surgical skin staples, which in our setting cost US $ 10-12. The material is readily available in any standard operating theatre, making this procedure useful for countries with limited resources.