Sawant Venkatesh Rajaram, Gharwade Chandrakant Rambhau
Department of Plastic Surgery, Grant Medical College and Sir J Group of Hospitals, Mumbai, Maharashtra, India.
Indian J Plast Surg. 2020 Aug;53(2):301-302. doi: 10.1055/s-0040-1716082. Epub 2020 Aug 26.
Lower extremity trauma is very often managed by applying an external fixator to stabilize the fracture site. These limbs very frequently require multiple surgeries, which predisposes them to problems like heel pressure sore, equinus deformity and limb edema. These complications prolong the healing time and create obstacles in rehabilitation. Our aim was to modify the usual uniplanar external fixator in such a way that it is able to provide stable limb elevation and also keep the leg and the foot in such a position, so as to avoid the above-mentioned complications. We used our frame in 10 patients and none of our patients developed heel ulceration or equinus deformity. We found that the frame enables easier daily examination of the wound and improves patient comfort during dressing changes.
下肢创伤通常通过应用外固定器来稳定骨折部位进行处理。这些肢体常常需要多次手术,这使它们容易出现足跟压疮、马蹄足畸形和肢体水肿等问题。这些并发症延长了愈合时间,并给康复造成障碍。我们的目的是对常规的单平面外固定器进行改进,使其能够提供稳定的肢体抬高,并使小腿和足部保持在这样一种位置,以避免上述并发症。我们将我们的框架应用于10例患者,我们的患者均未出现足跟溃疡或马蹄足畸形。我们发现该框架便于日常对伤口进行检查,并在换药时提高了患者的舒适度。