Galois L, Pauchot J, Pfeffer F, Kermarrec I, Traversari R, Mainard D, Delagoutte J P
Service de Chirurgie Orthopédique et Traumatologique (C.O.T), Hôpital Central, 29 Avenue Maréchal de Lattre de Tassigny, C.O. no 34 54035 Nancy, France.
Acta Orthop Belg. 2002 Feb;68(1):63-7.
The authors report a case of acute compartment syndrome in the thigh in a 19-year-old man with multiple injuries including fracture of the femoral diaphysis. Decompressive fasciotomy was performed emergently. Complete progressive closure of the wound without split-thickness skin grafting was achieved using a modified shoelace technique: sutures were run inside wide drains placed in contact with the muscles and were then tightened over the skin. These drains enlarged the contact area between sutures and muscles, preventing damage to muscles.
作者报告了一例19岁男性大腿急性骨筋膜室综合征病例，该患者有多处损伤，包括股骨干骨折。紧急实施了减压筋膜切开术。采用改良鞋带技术实现了伤口完全渐进性闭合，无需进行分层皮片移植：缝线穿过与肌肉接触放置的宽引流管内部，然后在皮肤上收紧。这些引流管扩大了缝线与肌肉之间的接触面积，防止肌肉受损。
