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The Efficacy of Modified Ilizarov Distraction-Tension Device on Limb Wound Difficult to Cover with Skin Flaps.
Zhu, Yueliang; Pan, Sunwen; Xu, Yongqing; Shi, Jian; Shi, Zhen.
Afiliación
  • Zhu Y; The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
  • Pan S; The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
  • Xu Y; 920th Hospital of Joint Logistics Support Force of PLA, Kunming, China.
  • Shi J; 920th Hospital of Joint Logistics Support Force of PLA, Kunming, China.
  • Shi Z; The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Orthop Surg ; 2024 Sep 02.
Article en En | MEDLINE | ID: mdl-39223103
ABSTRACT

INTRODUCTION:

Closure of complex limb wounds poses challenges and requires innovative approaches. This research aimed to evaluate the effectiveness of a modified distraction-tension device using Ilizarov external fixation for wound closure in challenging cases.

METHODS:

A retrospective analysis was conducted on 43 patients with extremity wounds that were difficult to cover with skin flaps between January 2019 and December 2022. Tension-relieving traction was applied using the Ilizarovexternal fixator apparatus, tailored to individual wound characteristics. Three types of wire-pin connections were used in this study. The distraction begins on the third postoperative day, with a speed of 0.5mm/d. Clinical wound healing scores were evaluated at 5 and 30 days postoperatively. Complications were documented following the Paley classification system.

RESULTS:

Traction using modified Ilizarovexternal fixation promoted a significant reduction in wound size. The mean traction period was 11.2 ± 7.3 days, and the mean healing duration was 17.0 ± 3.7 days. The clinical wound healing score improved from 3.7 ± 2.9 at 5 days to 1.7 ± 0.7 at 30 days postoperatively (p < 0.05). Complications were minimal, with no significant obstacles or sequelae observed. Direct closure healing was achieved in 21 cases, skin graft healing in 13 cases, and suture healing in 9 cases. No recurrences were reported. Using Paley's classified complications, there were 17 problems, 9 obstacles, and 0 sequelae.

CONCLUSION:

The Ilizarov tension-relieving traction shows promise in facilitating wound closure that is challenging to manage with skin flaps. The modified three types of pin-skin connection configuration could satisfy various types of wound closure.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Orthop Surg Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Orthop Surg Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Australia