The authors report a case of acute compartment syndrome in the thigh in a 19-year-old man with multiple injuries including fracture of the femoral diaphysis. Decompressive fasciotomy was performed emergently. Complete progressive closure of the wound without split-thickness skin grafting was achieved using a modified shoelace technique: sutures were run inside wide drains placed in contact with the muscles and were then tightened over the skin. These drains enlarged the contact area between sutures and muscles, preventing damage to muscles.
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BMC Musculoskelet Disord
October 2024
Sports Medicine Department, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Arthrosc Tech
January 2024
Department of Orthopedics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong, China.
The Technical Note aims to present an arthroscopic capsular closure technique at the end of the hip arthroscopy. The technology employs a dual-channel approach and modified shoelace suture technique to continuously suture the hip capsule. Recent studies have indicated that routine intraoperative repair of the articular capsule at the end of the hip arthroscopy is advocated.
View Article and Find Full Text PDFInjury
December 2023
Biomechanichal Engineering Laboratory, University Hospital, Federal University of Santa Catarina, Florianópolis, SC, Brazil.
Background: The biomechanical assessment of tendon repair is essential for the evaluation of different tendon suturing techniques. The shoelace suture technique with absorbable Vicryl® is a modified technique of Achilles tendon repair that may have biomechanical advantages depending on the number of threads used and the direction of the suture.
Purpose: To evaluate the creep under constant pre-load, the stiffness, the maximum strength, and the failure mode for three different configurations of the shoelace suture in a bovine tendon biomechanical model.
Background: Closure of large anterior abdominal wall defects, regardless of their etiology, is challenging. There is no standardized information describing definitive management. Therefore, we conducted this study to illustrate our experience on large midline abdominal wall defect repair using an effective modified reconstructive technique.
View Article and Find Full Text PDFJ Minim Invasive Gynecol
December 2022
Department of Minimally Invasive Gynecologic Surgery, Nirmala Maternity and Surgical Hospital (Dr. Desai), Department of Minimally Invasive Gynecologic Surgery, Akanksha Hospital (Dr. Pisat), and Department of Minimally Invasive Gynecologic Surgery, Nirmala Maternity and Surgical Hospital (Dr. Desai) Mumbai, Maharashtra, India.
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