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Yontar Y, Tatar S, Aydin A, et al. Delayed Primary Closure of Traumatic Tension Wounds Using Plastic Straps and Kirschner Wires. Plast Surg (Oakv). 2018;27(1):29-37doi: 10.1177/2292550317750147.
Yontar, Y., Tatar, S., Aydin, A., & Coruh, A. (2019). Delayed Primary Closure of Traumatic Tension Wounds Using Plastic Straps and Kirschner Wires. Plastic surgery (Oakville, Ont.), 27(1), 29-37. https://doi.org/10.1177/2292550317750147
Yontar, Yalcin, et al. "Delayed Primary Closure of Traumatic Tension Wounds Using Plastic Straps and Kirschner Wires." Plastic surgery (Oakville, Ont.) vol. 27,1 (2019): 29-37. doi: https://doi.org/10.1177/2292550317750147
Yontar Y, Tatar S, Aydin A, Coruh A. Delayed Primary Closure of Traumatic Tension Wounds Using Plastic Straps and Kirschner Wires. Plast Surg (Oakv). 2019 Feb;27(1):29-37. doi: 10.1177/2292550317750147. Epub 2018 Jan 11. PMID: 30854359; PMCID: PMC6399771.
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Plast Surg (Oakv). 2019 Feb;27(1):29-37. doi: 10.1177/2292550317750147. Epub 2018 Jan 11.

Delayed Primary Closure of Traumatic Tension Wounds Using Plastic Straps and Kirschner Wires.

Plastic surgery (Oakville, Ont.)

Yalcin Yontar, Sedat Tatar, Ahmet Aydin, Atilla Coruh

Affiliations

  1. Department of Plastic, Reconstructive, and Aesthetic Surgery, Kayseri Training and Research Hospital, Kayseri, Turkey.
  2. Department of Plastic, Reconstructive, and Aesthetic Surgery, Koç American Hospital, Istanbul, Turkey.
  3. Department of Plastic, Reconstructive, and Aesthetic Surgery, Erciyes University Medical Faculty, Kayseri, Turkey.

PMID: 30854359 PMCID: PMC6399771 DOI: 10.1177/2292550317750147

Abstract

Tension of the wound edges should be overcome with precise surgical planning, which is recognized as one of the major contributors to local complications by compromising circulation of the wound edges. In this article, it was aimed to present the clinical results of a surgical technique, in which the plastic straps and Kirschner wires are used for delayed primary closure of traumatic tension wounds. Depending on the assessment of the wound localization, wound dimension, and mobility of adjacent soft tissue, the technique was performed in 9 patients with a male to female ratio of 8:1. Gunshot injury was the leading cause (n = 5), and in most cases, the wounds were located at the lower extremities (n = 6). The mean time between performing the technique and closing the wound primarily and the mean hospitalization time were 4.8 ± 1.1 and 13.5 ± 3.9 days, respectively. In each case, wound closure and healing were achieved successfully without any serious complications. The presented technique provides advantages of using a low cost as well as a very simple equipment, improved and reliable stability during tightening process due to self-locking feature of the plastic straps, no donor site morbidity, short operating time with low rate of post-operative complications, and short hospitalization time. We recommend using this invaluable technique reliably for the treatment of traumatic tension wounds. However, further studies are needed for better evaluation of cosmetic and functional outcomes of the presented technique.

Keywords: K-wire; Kirschner wire; mechanical creep; plastic strap; primary closure; stress relaxation; wound

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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