Sin defects unable to close by primary intention have caused many difficulties. Complex surgical interventions such as repetitive debridements, skin graft, or flap have been performed as therapeutic methods.
Recently, new techniques for the skin closure based on the stretching property, elasticity or stress relaxation, have been introduced. This biomechanical property exhibits that the force required to keep the skin at a stretched length decreases
over
time. As the skin is stretching, the convoluted collagen fibers in dermis are straighten and become a line in the direction of stretching force.
Fifteen cases of skin defects associated with fracture were closed by a now dynamic closing method at Department of Orthopadic Surgery, Yonsei University College of Medicine. Two spinal needles were inserted into dermis along the wound margins on
each
side in order to distribute the even tension. The wound margins were approximated by suture wires engaged with the needles. We have experienced successful results using new stretch closing method in fracture with skin defect. It is confirmed that
this
method is rapid, simple, cost - effective, cosmetic, and safe way to close the skin defect and shortens hospital stay.
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