Treatment of Open Wound in Extremity
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概要
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We treated 220 cases of open wound in the last four years and three months, which cases were difficult to close the wound by only approximation and suture of wound margin.We chose two cases among these cases which were difficult to treat by only skin grafting, and described our method to treat such case.Such cases usually have deep dead space, necrosis extend to the surface of bone, and the wound are associated with infection, so we can not find out good recipient bed for skin graft.What is essential to treat such wound are followings;1 removal of necrosed tissue2 to fill dead space3 coverage by skinIf necrosed tissue is not removed completely, wound can never heal.It is essential to use well-vascularized tissue for filling dead space, so that we often used muscle for that.For coverage, we firstly choose free skin grafting wherever it is indicated, and secondly choose flap for the rest area where free skin grafting is not indicated.
- 西日本整形・災害外科学会の論文
著者
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西嶋 壮夫
新日鉄八幡製鉄所病院 整形外科
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高 勝強
新日鉄八幡製鉄所病院整形外科
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碓井 良弘
新日鉄八幡製鉄所病院整形外科
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橘 寛
新日鉄八幡製鉄所病院
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吉出 光男
新日鉄八幡製鉄所病院整形外科
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碓井 良弘
新日鉄八幡病院
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