A NOVEL TECHNIQUE FOR POST IMPLANT DIFFICULT SKIN CLOSURE

Abstract

The management of grossly displaced fractures sometimes needs immediate reduction to relieve pressure on neurovascular structures and simultaneous stabilization with plates & screws. Surgeons frequently encounter difculty in the nal stage of surgery which is skin closure due to signicant swelling. Delayed secondary closure increases the risk of exposing the fracture site & implant to infection. Also counselling relatives postop for second surgery and for additional expenditure is difcult. Here we present our experience of managing difcult closures using multiple tension relieving small skin incisions to relieve compartmental pressure and catostrophic wound complications. Here we have shown an example of difcult closure on a complex displaced distal radius fracture post xation.