Continuous External Tissue Expansion Closure Technique for Management of Forearm Compartment Syndrome Releases and Simple Upper-Extremity Wounds

J Hand Surg Am. 2021 Jul;46(7):630.e1-630.e9. doi: 10.1016/j.jhsa.2021.01.008. Epub 2021 Mar 12.

Abstract

Upper-extremity wounds from various etiologies such as trauma and fasciotomies can prove to be problematic for the upper-extremity surgeon. These defects can result in considerable morbidity often requiring prolonged wound care and the eventual use of skin grafting from a separate painful donor site. Tissue expansion takes advantage of the viscoelastic properties of skin to provide additional tissue for reconstruction. The authors present a technique using a continuous external tissue expansion device for closure of upper-extremity wounds.

Keywords: Compartment syndrome; continuous external tissue expansion; upper-extremity wounds.

Publication types

  • Review

MeSH terms

  • Arm Injuries* / surgery
  • Compartment Syndromes* / etiology
  • Compartment Syndromes* / surgery
  • Fasciotomy
  • Forearm
  • Humans
  • Tissue Expansion