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Treatment in an Outpatient Setting for a Patient With an Infected, Surgical Wound With Hypergranulation Tissue

¹ Rockwood Clinic, Spokane, WA
² Lourdes Medical Center Pasco, WA
³ Assistant Professor, Department of Physical Therapy, Eastern Washington University
⁴ Professor, Department of Physical Therapy, Eastern Washington University

^* To whom correspondence should be addressed. E-mail: neager{at}u.washington.edu.

	Abstract

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.

First published on December 30, 2008, doi:10.1177/1534734608329684

The International Journal of Lower Extremity Wounds 2009;8:37.

A more recent version of this article appeared on March 1, 2009


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