Work

Application of a dynamic wound closure device in orthopaedic trauma patients following fasciotomy: A level-1 trauma center perspective and preliminary case series

Year: 2026

Type: article

Abstract: The challenge of achieving delayed primary closure of fasciotomy wounds is well known, and multiple techniques of achieving either delayed primary closure or alternative forms of soft-tissue reconstruction have been described in the literature. However, a universally accepted consensus of the optimal management strategy has yet to be established. We describe our experience with a device designed to use the mechanical concept of dermatotraction-a surgical technique that uses the skin's natural elasticity to close wounds. This device (ABRA Surgical, Southmedic, Inc) promotes a delayed primary wound healing environment and facilitates dynamic approximation of wound edges in complex fasciotomy defects. During ward-based dynamic closure fasciotomy defects transition to a state where primary closure is safely achievable. This avoids the need for soft-tissue reconstruction which is associated with variable outcomes and cosmetic acceptance. Here, we present our surgical technique and case series using this dynamic closure device.

Source: OTA International The Open Access Journal of Orthopaedic Trauma

DOI: 10.1097/oi9.0000000000000499