Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Oct-Dec;43(4):381-384.
doi: 10.12865/CHSJ.43.04.16. Epub 2017 Dec 28.

Case Presentation of Soft Tissue Defect after Bimalleolar Fracture Osteosynthesis

A Grecu  1 , O Nica  2 , Daniela Marinescu  3 , Daniela Vintila  4 , M Ciurea  5
Affiliations

Case Presentation of Soft Tissue Defect after Bimalleolar Fracture Osteosynthesis

A Grecu et al. Curr Health Sci J. 2017 Oct-Dec.

Abstract

A 59-year-old patient presented in the ER with wound dehiscence and skin necrosis on the right ankle, with osteosynthesis implant visible, after open reduction and fixation with plate and screws, performed abroad, 16 days prior to the presentation, for a bimalleolar fracture. The patient was admitted to the plastic surgery department, where surgical debridement of the necrotic tissue was initially performed. Postoperatively, the patient was treated with Negative-pressure wound therapy (VAC dressing) and Platelet rich plasma (PRP) therapy. Upon obtaining granulation tissue without signs of infection, a sural fasciocutaneous flap was performed to cover the skin defect. Proper graft integration and healing was observed.

Keywords: infection; negative-pressure wound therapy; osteosynthesis; platelet-rich plasma; tissue grafts.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Clinical presentation
Figure 2
Figure 2
Wound after VAC Therapy
Figure 3
Figure 3
Flap prior to wound coverage
See this image and copyright information in PMC

References

    1. Venturi ML, Attinger CE, Mesbahi AN, Hess CL, Graw KS. Mechanisms and clinical applications of the vacuum-assisted closure (vAC) Device: a review. Am J Clin Dermatol. 2005;6(3):185–194. - PubMed
    1. Webb LX. New techniques in wound management: vacuumassisted wound closure. J Am Acad Orthop Surg. 2002;10(5):303–311. - PubMed
    1. Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997;38(6):563–576. - PubMed
    1. Waldvogel FA, Medoff G, Swartz MN. Osteomyelitis: a review of clinical features, therapeutic considerations and unusual aspects. N Engl J Med. 1970;282:198–206. - PubMed
    1. Fears RL, Gleis GE, Seligson D. Skeletal Trauma. 2. Timisoara: PA: WB Saunders Co; 1998. Diagnosis and treatment of complications.

LinkOut - more resources