Riedl S, Werner J, Göhring U, Meeder P J
Sektion Unfall- und Wiederherstellungschirurgie, Chirurgische Universitätsklinik Heidelberg.
Chirurg. 1994 Nov;65(11):1052-5.
In the treatment of the acute compartment syndrome open fasciotomy gives rise to a wide soft tissue opening. The persistence of this opening prevents a timely change to internal osteosynthesis in case of additional fractures usually treated by a fixateur externe. Closure of the skin defect itself requires additional surgery. The cosmetical results particular in cases of a mesh-grafting are unsatisfactory. After open fasciotomy the prepositioned intracutaneous suture is a simple operation technique leading to early wound closure with a good cosmetical result.
在急性骨筋膜室综合征的治疗中,切开筋膜减压术会造成较大的软组织创口。若出现通常需用外固定器治疗的额外骨折,该创口的持续存在会妨碍及时转换为内固定术。皮肤缺损的闭合本身需要额外的手术。特别是在采用网状植皮的情况下,美容效果并不理想。切开筋膜减压术后,预先放置的皮内缝合是一种简单的手术技术,可实现早期伤口闭合并获得良好的美容效果。