Table of Contents
ISRN Orthopedics
Volume 2012, Article ID 528382, 6 pages
Clinical Study

Shoelace Wound Closure for the Management of Fracture-Related Fasciotomy Wounds

Department of Orthopaedic Surgery, Faculty of Medicine, Zagazig University, 5 Mahfouz Street from Ahmed Ismail Street, Zagazig 44511, Egypt

Received 21 July 2012; Accepted 28 August 2012

Academic Editors: G. C. Babis and S. Yabuki

Copyright © 2012 Abdelsalam Eid and Mohamed Elsoufy. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Compartment syndrome is a serious complication that might occur following fractures. The treatment of choice is emergent fasciotomy of all the involved muscle compartments to lower the compartment pressure. The classic management of fasciotomy wounds was split thickness skin graft. Patients and Methods. Seventeen patients with fracture-related compartment syndrome were managed by fasciotomy in the Orthopaedic Casualty Unit of our university hospital. The fractures included four femoral fractures and 13 fractures of the tibia and fibula. Results. All fasciotomy wounds healed eventually. Wound closure occurred from the corners inward. The skin closure was obtained at an overall average of 4.2 tightening sessions (range 3–7). Fracture healing occurred at an average of 15.4 weeks (range 12 to 22 weeks). No major complications were encountered in this series. Conclusion. Closure of fasciotomy wounds by dermatotraction could be performed in a staged fashion, using inexpensive equipment readily available in any standard operating room, until skin was approximated enough to heal either through delayed primary closure or secondary healing.