Elevated compartmental pressures after closure of a forearm burn wound with a skin-stretching device

Burns. 1997 Mar;23(2):154-6. doi: 10.1016/s0305-4179(96)00090-3.

Abstract

A case of successful delayed primary closure of an upper extremity electrical blow-out injury is described using an alternative technique. The Sure-Closure skin-stretching device was used for permanent wound closure following serial debridement to protect the radial artery which was exposed over a distance of 21 cm. This method increases the options possible to achieve wound closure. However, the potential risks of this method include potentially high compartment pressures over a prolonged time in the postoperative period which requires close monitoring of limb perfusion.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arm Injuries / surgery*
  • Burns, Electric / surgery*
  • Compartment Syndromes / etiology*
  • Compartment Syndromes / physiopathology
  • Humans
  • Male
  • Pressure
  • Time Factors
  • Tissue Expansion / adverse effects*
  • Tissue Expansion / instrumentation
  • Wound Healing / physiology