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Treatment in an Outpatient Setting for a Patient With an Infected, Surgical Wound With Hypergranulation TissueRockwood Clinic, Spokane, neager{at}u.washington.edu
Lourdes Medical Center, Pasco
Department of Physical Therapy, Eastern Washington University, Spokane Washington
Department of Physical Therapy, Eastern Washington University, Spokane Washington The purpose of this article is to describe a multifaceted approach to wound care in an outpatient setting for a patient with an infected, nonhealing surgical wound with hypergranulation tissue following fasciotomy for acute compartment syndrome. A 44-year-old male underwent an anterior and lateral lower extremity compartment fasciotomy and developed a persistent right anterolateral lower leg wound. Thirty-six days after fasciotomy he came to the authors' clinic after 2 failed skin grafts with an infected wound covered in hypergranulation tissue. Treatment included sharp debridement, saline irrigation, patient education, and dressing changes during 9 treatment sessions. The patient's total wound surface area decreased from 5.2 cm x 17.3 cm to 4 cm x 15 cm with increased epithelialization from approximately 40% to 85% after 29 days of treatment. This article demonstrates the positive effect of a multifaceted approach for facilitation of wound healing in a lower extremity wound following fasciotomy.
Key Words: wound healing • infection • granulation tissue • silver application
This version was published on March
1, 2009 The International Journal of Lower Extremity Wounds, Vol. 8, No. 1,
37-44 (2009) |
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