Compartment syndrome is one of the few true orthopaedic emergencies. Characterized by increased osseofascial compartment pressures leading to subsequent...
Retracted Skin Defect Closure
Evolution of Retracted Skin Defect Closure
Increased intra-compartmental pressures seen in compartment syndrome often leave difficult to close wounds. Historically, surgeons have utilized a combination of vessel loops and staples, or other techniques, in order to loosely close fasciotomy sites too retracted to close primary. This method of closure, however, was not without complication, and required surgeon experience to properly tie and employ. As a result, companies have begun marketing products specifically for use on retracted skin or wounds under too much tension to close primarily.
The ACell ABRA Surgical™ provides subcutaneous traction for open and/or retracted wounds. It employs chronic cyclic tension to close wounds, and can obviate the need for skin grafting and associated rehabilitation, pain and loss of function. Two main products are offered, one based upon skin anchors, and the other which utilizes an adhesive dressing. Size of defect and amount of closure needed can dictate which product is best. These products allow for controlled closure of wounds under tension, and are perfect when skin closure following fasciotomy is impossible.
The ACell ABRA™ is the first product of its type. Traditionally, fasciotomy sites were closed utilizing a combination of vessel loops or subcutaneous sutures, all of which were available off of the shelf in hospitals.