The use of negative-pressure therapy and skin grafting in the treatment of soft-tissue defects over the Achilles tendon.

Abstract:

:Management of soft-tissue defects over the Achilles tendon presents specific challenges to the plastic surgeon. Primary closure or local flaps are often not feasible repair options for such wounds, and many of these patients may be poor candidates for free-tissue transfer secondary to their comorbidity. In this case series, the use of negative-pressure therapy in the preoperative period to prepare the wound bed for placement of a split-thickness skin graft and in the immediate postoperative period as a dressing for the graft was successfully used in 3 patients with soft-tissue defects over the Achilles tendon with exposed tendon. All 3 patients had stable wounds at 48 to 80 months postoperatively. Negative-pressure therapy and skin grafting was found to be a reliable method of repair that provided stable coverage for such wounds.

journal_name

Ann Plast Surg

authors

Repta R,Ford R,Hoberman L,Rechner B

doi

10.1097/01.sap.0000181342.25065.60

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

367-70

issue

4

eissn

0148-7043

issn

1536-3708

pii

00000637-200510000-00007

journal_volume

55

pub_type

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