Treatment of limb skin defect with self-made skin distractor

Abstract Objective To investigate the effect of self-made skin distractor in the treatment of limb skin defects. Methods From September 2018 to January 2020, 15 cases of limb skin defects (16 wounds) were treated with self-designed skin distractor, including 13 males and 2 females, with an average a...

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Main Authors: Gao Lei, Li Kai, Zhang Yanlong, Wang Hongrun, Liu Shibo, Wang Yong, Peng Aqin
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-024-08249-5
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author Gao Lei
Li Kai
Zhang Yanlong
Wang Hongrun
Liu Shibo
Wang Yong
Peng Aqin
author_facet Gao Lei
Li Kai
Zhang Yanlong
Wang Hongrun
Liu Shibo
Wang Yong
Peng Aqin
author_sort Gao Lei
collection DOAJ
description Abstract Objective To investigate the effect of self-made skin distractor in the treatment of limb skin defects. Methods From September 2018 to January 2020, 15 cases of limb skin defects (16 wounds) were treated with self-designed skin distractor, including 13 males and 2 females, with an average age of 42 years (range, 9–73 years). The smallest area of skin defect was 6 cm×3 cm, the largest was 32 cm ×7 cm, with an average of 72.4cm2. The wound healing was observed, complications and the time of use of the distractor were recorded. Results All patients were followed up for 6–12 months with an average of 9.2 months. Of the 16 wounds in 15 patients, 2 wounds were closed in one stage during operation, 13 wounds were delayed in primary closure. A skin incision occurred in 1 case, but the wound closure was not affected; One wound were not closed completely, because the skin was cut by Kirschner wire, and could not be stretched continously. The remaining wounds were closed by skin grafting. Another case also had skin cutting was occurred in another case, but the wound closure was not affected. No skin stretch was terminated due to pain. All wounds were healed. The elasticity and color of the skin on the wound surface were not different from the surrounding skin. The movement of the adjacent joints was basically normal. Conclusion The self-made skin stretcher is simple in structure and easy to use. It provides a reliable and effective method for the treatment of skin defects of limbs.
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issn 1471-2474
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publishDate 2024-12-01
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spelling doaj-art-0a7b1d49470946cd93ebaefb95df78972025-01-05T12:04:40ZengBMCBMC Musculoskeletal Disorders1471-24742024-12-012511910.1186/s12891-024-08249-5Treatment of limb skin defect with self-made skin distractorGao Lei0Li Kai1Zhang Yanlong2Wang Hongrun3Liu Shibo4Wang Yong5Peng Aqin6Orthopedic Research Institute of HeBei Province, Orthopedic Biomechanic Key Laboratory of Hebei Province, Trauma Emergency Center of Third Hospital of Hebei Medical UniversityDepartment of Spine Minimally Invasive Surgery, Hengshui People’s HospitalOrthopedic Research Institute of HeBei Province, Orthopedic Biomechanic Key Laboratory of Hebei Province, Trauma Emergency Center of Third Hospital of Hebei Medical UniversityOrthopedic Research Institute of HeBei Province, Orthopedic Biomechanic Key Laboratory of Hebei Province, Trauma Emergency Center of Third Hospital of Hebei Medical UniversityDepartment of hand and foot surgery, Affiliated Hospital of Chengde Medical CollegeOrthopedic Research Institute of HeBei Province, Orthopedic Biomechanic Key Laboratory of Hebei Province, Trauma Emergency Center of Third Hospital of Hebei Medical UniversityOrthopedic Research Institute of HeBei Province, Orthopedic Biomechanic Key Laboratory of Hebei Province, Trauma Emergency Center of Third Hospital of Hebei Medical UniversityAbstract Objective To investigate the effect of self-made skin distractor in the treatment of limb skin defects. Methods From September 2018 to January 2020, 15 cases of limb skin defects (16 wounds) were treated with self-designed skin distractor, including 13 males and 2 females, with an average age of 42 years (range, 9–73 years). The smallest area of skin defect was 6 cm×3 cm, the largest was 32 cm ×7 cm, with an average of 72.4cm2. The wound healing was observed, complications and the time of use of the distractor were recorded. Results All patients were followed up for 6–12 months with an average of 9.2 months. Of the 16 wounds in 15 patients, 2 wounds were closed in one stage during operation, 13 wounds were delayed in primary closure. A skin incision occurred in 1 case, but the wound closure was not affected; One wound were not closed completely, because the skin was cut by Kirschner wire, and could not be stretched continously. The remaining wounds were closed by skin grafting. Another case also had skin cutting was occurred in another case, but the wound closure was not affected. No skin stretch was terminated due to pain. All wounds were healed. The elasticity and color of the skin on the wound surface were not different from the surrounding skin. The movement of the adjacent joints was basically normal. Conclusion The self-made skin stretcher is simple in structure and easy to use. It provides a reliable and effective method for the treatment of skin defects of limbs.https://doi.org/10.1186/s12891-024-08249-5SkinDefectDistractor
spellingShingle Gao Lei
Li Kai
Zhang Yanlong
Wang Hongrun
Liu Shibo
Wang Yong
Peng Aqin
Treatment of limb skin defect with self-made skin distractor
BMC Musculoskeletal Disorders
Skin
Defect
Distractor
title Treatment of limb skin defect with self-made skin distractor
title_full Treatment of limb skin defect with self-made skin distractor
title_fullStr Treatment of limb skin defect with self-made skin distractor
title_full_unstemmed Treatment of limb skin defect with self-made skin distractor
title_short Treatment of limb skin defect with self-made skin distractor
title_sort treatment of limb skin defect with self made skin distractor
topic Skin
Defect
Distractor
url https://doi.org/10.1186/s12891-024-08249-5
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