Publication:
Shoe-lace Technique Hasten Delayed Primary Closure In Fasciotomy Wound For Forearm Compartment Syndrome

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Abstract

We report a case of acute compartment syndrome of the forearm in a 51-year-old man with open fracture distal third radius (Gustilo I). Decompressive fasciotomy was performed promptly. Complete progressive closure of the wound without split-thickness skin grafting was achieved using a shoe-lace technique: silastic vessel loop were interlaced held together with skin staplers placed at the edge of the fasciotomy wound and were then tightened daily. Delayed primary closure of the fasciotomy wound was performed after 8 days post fasciotomy with complete opposition of skin edges without tension. Shoelace closure is a good option for atraumatic fasciotomy wound closure with good cosmesis result.

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Keywords

shoelace closure, fasciotomy, compartment syndrome

Citation

Bain, M. A., Md Shariff, M. S., Mohamad Nazarallah, M. H. ., Azman, N. D., & Norazmi, A. ’Ubaidah A. (2021). Shoe-Lace Technique Hasten Delayed Primary Closure In Fasciotomy Wound For Forearm Compartment Syndrome . Malaysian Journal of Science Health &Amp; Technology, 7(2), 76–78. https://doi.org/10.33102/mjosht.v7i2.189