Gradual, early and complete closure of fasciotomies through “plastic clamps”

Abstract

Decompressive fasciotomy is the treatment of choice for established compartment syndrome, a pathology that puts the limbs and even the patient's life at risk. Once performed, fasciotomy wounds are large and difficult to close, generally associated with complications and prolonged hospitalization times. The present case reports the use of “plastic ties” also known as cable ties or ties as an innovative, efficient and low cost technique to achieve the gradual and early closure of this type of wound. The case is a 55-year-old patient suffering from crush trauma to the left lower limb, presenting a complex metaphyseal fracture of the proximal tibia and associated compartment syndrome. Their respective fasciotomy was performed and by this new method a complete closure was achieved in 12 days; in addition, there were no complications such as infections, recurrence of pain due to early closure or the need for flaps or skin grafts.