Elbow Joint Exposure Caused by Crushing Injury Repaired with Composite Skin Grafting Combined with VSD
Objective To investigate the clinical effect and feasibility of composite skin grafting combined with vacuum sealing drainage(VSD)in the repair of crush injury with exposed joints.Methods In December 2020,a patient with skin necrosis and swelling of left upper limb caused by traffic accident for 1 day was admitted to the author's department.The patient's left upper limb was swelling,and her left forearm,elbow which had about 15.0 cm×20.0 cm skin necrosis,left hand feeling was reduced,radial artery could be touched.The patient received emergency surgery,the elbow joint was found exposure and dislocation;The triceps brachii was extensive avulsion from humerus;Ulnar nerve exposed,shift;The elbow,ulna exposed range is about 3.0 cm×5.0 cm.According to the patient's medical history,clinical manifestations,X-ray film of left upper limb and surgery,the diagnosis was left upper limb crushing injury and elbow joint exposure.The skin defect was repaired by two-step composite skin grafting combined with VSD.Results The skin defects of the left upper limb healed well.The reexamination 4 months after surgery showed that the flexion,extension and rotation of the elbow joint was recovered well.Conclusion For this case of elbow joint and exposed bone wound,we can use the composite skin grafting to cover the exposed bone wound,which greatly reduces the difficulty of operation and the pain of patients,and provides a new thought for the repair of relatively small area bone or joint exposure.
万方数据
维普
