McKenney M G, Nir I, Fee T, Martin L, Lentz K
Department of Surgery, University of Miami/Jackson Memorial Hospital, Florida, USA.
Am J Surg. 1996 Sep;172(3):275-7. doi: 10.1016/S0002-9610(96)00107-9.
Early decompressive fasciotomy is essential in the prevention of the sequelae of compartment syndrome. Many techniques have been described for the closure of the fasciotomy wound, and controversy exists as to which method is the best. Primary closure is often impossible secondary to tissue retraction and edema. Split-thickness skin grafting leaves a thin, insensate, and often aesthetically unpleasing result. Gradual mechanical dermal apposition has been used with increasing frequency, and has been shown to be effective in the closure of fasciotomies, but often takes 7-10 days for closure. We present our experience with the STAR, a mechanical method of fasciotomy wound closure that is effective in 2-4 days, and is extremely simple to use.
早期减压筋膜切开术对于预防骨筋膜室综合征的后遗症至关重要。已经描述了许多用于闭合筋膜切开术伤口的技术，关于哪种方法是最佳方法存在争议。由于组织回缩和水肿，一期缝合通常是不可能的。断层皮片移植会留下薄的、无感觉的且通常在美学上不尽人意的结果。逐渐机械性真皮对合的使用频率越来越高，并且已被证明在闭合筋膜切开术中有效，但通常需要7至10天才能闭合。我们介绍我们使用STAR的经验，这是一种闭合筋膜切开术伤口的机械方法，在2至4天内有效，并且使用极其简单。
