Split-thickness skin excision in severe open fractures.

Split-thickness skin excision in severe open fractures. Research Abstract Details 

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Split-thickness skin excision in severe open fractures. Abstract Text:

I Ziv,A Zeligowski,R Mosheiff,J Lowe,M R Wexler,D Segal,

Split-thickness skin excision can be used as a one-stage procedure for the accurate diagnosis of flap viability and the immediate treatment of friction-avulsion injuries in severe open fractures. After cleaning the wound, the avulsed flap is temporarily sutured back to its original bed and a split thickness graft is taken from it and meshed to a 1:3 ratio. Surface dermal capillary bleeding then serves as an indicator of viability, clearly displaying a line for the excision of devascularized skin and correlating well with a concomitant fluorescein test. The wounds are re-opened and, after fixation of the fracture, the viable part of the flap is returned to its original bed and the remaining defects are covered with the meshed graft. We have treated 16 patients with extensive degloving injuries in this way, 15 needing only the single surgical procedure. All retained flaps survived, no other donor sites were needed and the split-thickness grafts took with 90% to 100% success.

Split-thickness skin excision in severe open fractures. Publishing Authors By Initials

I Ziv,A Zeligowski,R Mosheiff,J Lowe,MR Wexler,D Segal,

For similar disorders of environmental origin: wounds and injuries: fractures, bone: tibial fractures research abstracts see: disorders of environmental origin: wounds and injuries: fractures, bone: tibial fractures research

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Split-thickness skin excision in severe open fractures. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The Journal of bone and joint surgery. British vol

VOLUME: 70

Page Numbers: 23-6

Journal Abbreviation:

ISSN: 0301-620X

DAY: 14

MONTH: Jan

YEAR: 1988

Split-thickness skin excision in severe open fractures. Information

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LANGUAGE: eng

NlmUniqueID: 375355

Split-thickness skin excision in severe open fractures. Keywords Mesh Terms:

KEYWORDS: Tibial Fractures

MESH TERMS: surgery

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Grant and Affiliation Information for Split-thickness skin excision in severe open fractures.

AFFILIATION: Hadassah University Hospital, Jerusalem, Israel.

Country: ENGLAND

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MEDLINETA: J Bone Joint Surg Br

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