聚丙烯假体作为足筋膜切开术后瘢痕佐剂治疗足筋膜室综合征1例

J. M. Juliano Eustáquio, Leonardo Soares Ataíde Oliveira, Décio José De Oliveira Júnior, Thayla Carriço Mendes, Alberto Martins Fontoura Borges, O. B. Neto
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引用次数: 0

摘要

急性足筋膜室综合征并不常见,发生在高能创伤后。您的治疗被视为骨科急诊,需要进行筋膜切开术。然而,在损伤控制的最后阶段,切口的遮盖是必要的。这可以在初次手术时通过真皮移植或延迟初次手术,通过相同的技术或直接缝合完成。作为一种替代方案,本病例描述了聚丙烯假体的使用,如在指尖肌肉骨骼创伤中所述,作为足部筋膜切开术愈合过程的辅助手段。这种技术的主要优点是只需一次手术,而且没有植皮带来的典型发病率。
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Polypropylene prosthesis as cicatricial adjuvant after fasciotomy for compartment syndrome of the foot: Case report
The acute foot compartment syndrome is uncommon and occurs after high energy trauma. Your treatment is considered an orthopedic emergency and a fasciotomy becomes needed. However, after the inicial fase of damage control, the cover up of the incision is necessary. That can be done on the primary moment through parcial skin grafting or delayed primary, through the same technique or through direct suture. As an alternative, this case describes the use of polypropylene prosthesis, inicially described in musculoskeletal trauma of finger tips, as an adjunct to the healing process of foot fasciotomies. The main benefits of this technique are the achievement of one single surgical procedure and the absence of the typical morbidity that comes with skin grafting.
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