Longitudinal Slit Procedure in Addition to Negative Pressure Wound Therapy for a Refractory Wound With Exposed Achilles Tendon
نویسندگان
چکیده
OBJECTIVE This case report reviews features of negative pressure wound therapy, particularly for the exposed Achilles tendon, and describes an additional effective procedure. METHODS An 87-year-old man presented with a soft-tissue defect measuring 3×5 cm with the exposed Achilles tendon as a sequela of deep burn. The condition of his affected leg was ischemic because of arteriosclerosis. We used negative pressure wound therapy and made 2 longitudinal slits penetrating the tendon to induce blood flow from the ventral side to the dorsal surface. RESULTS By this combination therapy, the surface of the exposed Achilles tendon was completely epithelialized and the tendon was spared without disuse syndrome. CONCLUSIONS The authors conclude that this combination therapy is useful for covering the widely exposed tendon in aged patients.
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