Mosheiff R, Segal D, Rand N, Liebergall M
Orthopaedic Surgery Department, Hadassah University Hospital, Jerusalem, Israel.
Am J Orthop (Belle Mead NJ). 1999 Nov;28(11):665-6; discussion 666-7.
Traditional methods of obtaining definitive soft-tissue cover in open wounds after high-energy trauma necessitate repeated surgical procedures and sophisticated soft-tissue reconstructions. A simple one-stage technique to treat skin loss in severe open fractures is described. The "rubber band technique" enables postoperative exposure and drainage of the fracture site. The wound closes gradually by facilitated mobilization of skin in response to continuous tension from the rubber band. This technique may prevent the need for additional procedures. Continuous drainage is achieved. When deep infection is suspected, removal of the elastic rubber band permits sufficient exposure of the deep tissues. The "rubber band technique" has proved to be a safe, simple, and efficient method for treating extensive soft-tissue loss in open fractures and after incisions for open reduction or fasciotomy.
在高能创伤后开放性伤口中获取确定性软组织覆盖的传统方法需要重复的外科手术和复杂的软组织重建。本文描述了一种治疗严重开放性骨折皮肤缺损的简单一期技术。“橡皮筋技术”能够实现骨折部位术后的暴露和引流。伤口通过皮肤在橡皮筋持续张力作用下的被动活动而逐渐闭合。该技术可能避免额外手术的需要，实现持续引流。当怀疑有深部感染时，移除弹性橡皮筋可充分暴露深部组织。“橡皮筋技术”已被证明是治疗开放性骨折及切开复位或筋膜切开术后广泛软组织缺损的一种安全、简单且有效的方法。
