Lei Gao, Kai Li, Yanlong Zhang, Hongrun Wang, Shibo Liu, Yong Wang, Aqin Peng
Orthopedic Research Institute of HeBei Province, Orthopedic Biomechanic Key Laboratory of Hebei Province, Trauma Emergency Center of Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Department of Spine Minimally Invasive Surgery, Hengshui People's Hospital, 053099, Hengshui, China.
BMC Musculoskelet Disord. 2024 Dec 30;25(1):1086. doi: 10.1186/s12891-024-08249-5.
To investigate the effect of self-made skin distractor in the treatment of limb skin defects.
From September 2018 to January 2020, 15 cases of limb skin defects (16 wounds) were treated with self-designed skin distractor, including 13 males and 2 females, with an average age of 42 years (range, 9-73 years). The smallest area of skin defect was 6 cm×3 cm, the largest was 32 cm ×7 cm, with an average of 72.4cm. The wound healing was observed, complications and the time of use of the distractor were recorded.
All patients were followed up for 6-12 months with an average of 9.2 months. Of the 16 wounds in 15 patients, 2 wounds were closed in one stage during operation, 13 wounds were delayed in primary closure. A skin incision occurred in 1 case, but the wound closure was not affected; One wound were not closed completely, because the skin was cut by Kirschner wire, and could not be stretched continously. The remaining wounds were closed by skin grafting. Another case also had skin cutting was occurred in another case, but the wound closure was not affected. No skin stretch was terminated due to pain. All wounds were healed. The elasticity and color of the skin on the wound surface were not different from the surrounding skin. The movement of the adjacent joints was basically normal.
The self-made skin stretcher is simple in structure and easy to use. It provides a reliable and effective method for the treatment of skin defects of limbs.
探讨自制皮肤牵张器治疗肢体皮肤缺损的效果。
2018年9月至2020年1月，采用自行设计的皮肤牵张器治疗15例肢体皮肤缺损患者（16处创面），其中男13例，女2例，平均年龄42岁（9 - 73岁）。皮肤缺损最小面积为6 cm×3 cm，最大为32 cm×7 cm，平均72.4 cm²。观察创面愈合情况，记录并发症及牵张器使用时间。
所有患者均随访6 - 12个月，平均9.2个月。15例患者的16处创面中，术中1期闭合2处创面，13处创面延迟一期闭合。1例出现皮肤切口，但不影响创面闭合；1处创面因克氏针切割皮肤，未能持续牵张，未完全闭合，其余创面经植皮闭合。另1例也出现皮肤切割，但不影响创面闭合。无因疼痛终止皮肤牵张。所有创面均愈合。创面皮肤弹性及色泽与周围皮肤无差异。相邻关节活动基本正常。
自制皮肤牵张器结构简单，使用方便，为肢体皮肤缺损的治疗提供了一种可靠有效的方法。
