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Efficacy of the shoelace technique for extremity fasciotomy wounds due to compartment syndrome
BACKGROUND: The shoelace technique for compartment syndrome allows application of sustained tightening tension to an entire wound and intermittent tightening of the shoelace without requiring its replacement or anesthesia. We retrospectively evaluated the usefulness of the shoelace technique in the...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476399/ https://www.ncbi.nlm.nih.gov/pubmed/37667241 http://dx.doi.org/10.1186/s12891-023-06849-1 |
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author | Onoe, Atsunori Muroya, Takashi Nakamura, Yoshihiro Nakamura, Fumiko Yagura, Takuma Nakajima, Mari Kishimoto, Masanobu Sakuramoto, Kazuhito Kajino, Kentaro Ikegawa, Hitoshi Kuwagata, Yasuyuki |
author_facet | Onoe, Atsunori Muroya, Takashi Nakamura, Yoshihiro Nakamura, Fumiko Yagura, Takuma Nakajima, Mari Kishimoto, Masanobu Sakuramoto, Kazuhito Kajino, Kentaro Ikegawa, Hitoshi Kuwagata, Yasuyuki |
author_sort | Onoe, Atsunori |
collection | PubMed |
description | BACKGROUND: The shoelace technique for compartment syndrome allows application of sustained tightening tension to an entire wound and intermittent tightening of the shoelace without requiring its replacement or anesthesia. We retrospectively evaluated the usefulness of the shoelace technique in the management of extremity fasciotomy wounds before and after its introduction in our institution. METHODS: We targeted 25 patients who were diagnosed as having compartment syndrome and underwent extremity fasciotomy at our hospital from April 2012 to December 2021. The N group, comprising 12 patients treated without the shoelace technique, and the S group, comprising 13 patients treated with the shoelace technique, were compared retrospectively for each outcome. RESULTS: There were no significant differences between the two groups in patient background. Compared with the N group patients, all of the S group patients avoided skin grafting (S group: n = 0, 0%; N group: n = 6, 50.0%; p < 0.01). However, there was no significant difference in the number of days to final wound closure (S group: 39.5 [IQR 24.3–58.0] days; N group: 24.0 [IQR 18.5–31.0] days, p = 0.06). CONCLUSIONS: We considered the shoelace technique to be a useful wound closure method for fasciotomy wounds caused by compartment syndrome because it can significantly reduce the need for skin grafting and tends to shorten the wound closure period. |
format | Online Article Text |
id | pubmed-10476399 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-104763992023-09-05 Efficacy of the shoelace technique for extremity fasciotomy wounds due to compartment syndrome Onoe, Atsunori Muroya, Takashi Nakamura, Yoshihiro Nakamura, Fumiko Yagura, Takuma Nakajima, Mari Kishimoto, Masanobu Sakuramoto, Kazuhito Kajino, Kentaro Ikegawa, Hitoshi Kuwagata, Yasuyuki BMC Musculoskelet Disord Research Article BACKGROUND: The shoelace technique for compartment syndrome allows application of sustained tightening tension to an entire wound and intermittent tightening of the shoelace without requiring its replacement or anesthesia. We retrospectively evaluated the usefulness of the shoelace technique in the management of extremity fasciotomy wounds before and after its introduction in our institution. METHODS: We targeted 25 patients who were diagnosed as having compartment syndrome and underwent extremity fasciotomy at our hospital from April 2012 to December 2021. The N group, comprising 12 patients treated without the shoelace technique, and the S group, comprising 13 patients treated with the shoelace technique, were compared retrospectively for each outcome. RESULTS: There were no significant differences between the two groups in patient background. Compared with the N group patients, all of the S group patients avoided skin grafting (S group: n = 0, 0%; N group: n = 6, 50.0%; p < 0.01). However, there was no significant difference in the number of days to final wound closure (S group: 39.5 [IQR 24.3–58.0] days; N group: 24.0 [IQR 18.5–31.0] days, p = 0.06). CONCLUSIONS: We considered the shoelace technique to be a useful wound closure method for fasciotomy wounds caused by compartment syndrome because it can significantly reduce the need for skin grafting and tends to shorten the wound closure period. BioMed Central 2023-09-04 /pmc/articles/PMC10476399/ /pubmed/37667241 http://dx.doi.org/10.1186/s12891-023-06849-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Onoe, Atsunori Muroya, Takashi Nakamura, Yoshihiro Nakamura, Fumiko Yagura, Takuma Nakajima, Mari Kishimoto, Masanobu Sakuramoto, Kazuhito Kajino, Kentaro Ikegawa, Hitoshi Kuwagata, Yasuyuki Efficacy of the shoelace technique for extremity fasciotomy wounds due to compartment syndrome |
title | Efficacy of the shoelace technique for extremity fasciotomy wounds due to compartment syndrome |
title_full | Efficacy of the shoelace technique for extremity fasciotomy wounds due to compartment syndrome |
title_fullStr | Efficacy of the shoelace technique for extremity fasciotomy wounds due to compartment syndrome |
title_full_unstemmed | Efficacy of the shoelace technique for extremity fasciotomy wounds due to compartment syndrome |
title_short | Efficacy of the shoelace technique for extremity fasciotomy wounds due to compartment syndrome |
title_sort | efficacy of the shoelace technique for extremity fasciotomy wounds due to compartment syndrome |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476399/ https://www.ncbi.nlm.nih.gov/pubmed/37667241 http://dx.doi.org/10.1186/s12891-023-06849-1 |
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