Adequate debridement and pie-crusting technique in the management of traumatic injuries

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Published: Aug 3, 2020
DOI: https://doi.org/10.15417/issn.1852-7434.2020.85.3.992
Keywords:
ulcerative traumatic wound, skin incisions, debridement, wound closure

Main Article Content

Luis Angel Beraún Coronel
Department of Orthopedics and Traumatology, Hospital II-2 Tarapoto (Tarapoto, Perú)
http://orcid.org/0000-0002-9965-4332
Manuel Oswaldo Becerra Orrego
Department of Orthopedics and Traumatology, Hospital Nacional Dos de Mayo, Lima, Perú
http://orcid.org/0000-0001-8828-5618
José Groverli Quispe Juárez
Department of Orthopedics and Traumatology, Hospital Nacional Dos de Mayo (Lima, Perú)
http://orcid.org/0000-0003-1531-2712

Abstract

Chronic wounds of traumatic origin, with tissue exposure, require adequate debridement, lavage and prompt coverage to prevent infection and desiccation. Wounds may even require to be enlarged in order to perform an adequate surgical debridement. Enlarged wound attempts to perform a complete coverage may result in tension wound closures, which are complicated by inflammation, infection, and dehiscence and aggravated when located on flexure areas, such as on the knee. We report the case of a 28-year female patient, who presented to the Emergency Department with a history of traumatic wound in the right knee and signs of delayed healing, friable granulation tissue, exposed patella, increased serous drainage, and painful limited range of motion. She underwent a single surgical time procedure with debridement, irrigation, and complete coverage of the wound using the piecrusting technique.
Level of Evidence: IV

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How to Cite
Beraún Coronel, L. A., Becerra Orrego, M. O., & Quispe Juárez, J. G. (2020). Adequate debridement and pie-crusting technique in the management of traumatic injuries. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 85(3), 254-261. https://doi.org/10.15417/issn.1852-7434.2020.85.3.992
Issue
Vol 85 No 3 (2020)
Section
Case Presentations
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Author Biographies

Luis Angel Beraún Coronel, Department of Orthopedics and Traumatology, Hospital II-2 Tarapoto (Tarapoto, Perú)

Department of Orthopedics and Traumatology, Hospital II-2 Tarapoto (Tarapoto, Perú)

Manuel Oswaldo Becerra Orrego, Department of Orthopedics and Traumatology, Hospital Nacional Dos de Mayo, Lima, Perú

Department of Orthopedics and Traumatology, Hospital Nacional Dos de Mayo (Lima, Perú)

José Groverli Quispe Juárez, Department of Orthopedics and Traumatology, Hospital Nacional Dos de Mayo (Lima, Perú)

Department of Orthopedics and Traumatology, Hospital Nacional Dos de Mayo (Lima, Perú)

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