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It makes me fell as though I'm...

Unspooling in Uranus (yes, I went there),
Ellie
 
i have to bump this or it might end up on the second page sometime in mid-march.
 

Interesting. I never thought to ask what the were called but my orthopedic surgon used "retention" sutures. I divined that they kept tension on the skin to encourage the wound back together.

I had a lot of swelling where the Tib & Fib made their exit. He made a series of incisions every 1/2 inch or so across the wound and alternated which flap was up or down. As the swelling went down everything smoothed into good order. I thought it sort of nifty at the time.
 
Interesting. I never thought to ask what the were called but my orthopedic surgon used "retention" sutures. I divined that they kept tension on the skin to encourage the wound back together.

I had a lot of swelling where the Tib & Fib made their exit. He made a series of incisions every 1/2 inch or so across the wound and alternated which flap was up or down. As the swelling went down everything smoothed into good order. I thought it sort of nifty at the time.

You had an open tib/fib fracture?

Yes the retention sutures are deep and they relieve tension on the primary suture line by pulling together from a deeper place in the muscle. Recently we keep the wound open and use a vacuum style closure device if there is lots of swelling.

I think it is interesting.
 
You had an open tib/fib fracture?

Yes the retention sutures are deep and they relieve tension on the primary suture line by pulling together from a deeper place in the muscle. Recently we keep the wound open and use a vacuum style closure device if there is lots of swelling.

I think it is interesting.

Yes, high velocity, mutiple compound fractures of the tib/fib. I'm sure you can guess how I got that.

The put in a drain and left it open until the swelling was down enough to do the second surgery. I disremember, but I think the first was to install the stainless rod and screw, the second to repair the muscles. They did good work, I have full function.

I can't picture the vacuum closure but it sounds interesting.
 
Yes, high velocity, mutiple compound fractures of the tib/fib. I'm sure you can guess how I got that.

The put in a drain and left it open until the swelling was down enough to do the second surgery. I disremember, but I think the first was to install the stainless rod and screw, the second to repair the muscles. They did good work, I have full function.

I can't picture the vacuum closure but it sounds interesting.

https://www.researchgate.net/profile/James_Stannard/publication/44600240/figure/fig3/AS:276475988201474@1442928420520/Fig-3-A-vacuum-assisted-closure-sponge-and-dressing-over-a-grade-IIIB-compound-fracture.png

I can imagine the injury. Did you have a round of sepsis from the open fracture? I am happy you have full function and were in good surgical hands for the repairs. :heart:

The wound Vac is pretty amazing. The wound is left open and packed with a sponge that is connected to a suction and collection system.

It gives the tissue time to heal, removes drainage, and relieves the problem of pressure that could damage more tissue from the swelling. The sponge dressing is changed three times a week under sterile technique by the Surgeon until all definitive repairs to bone and tissue are complete which sometimes takes weeks.

I am a big fan of the Vac for surgical wounds and dirty wounds.
 
Looks science-fiction.

They debrided the bones, gave me a round of keflex and no infection. The complication was that the debridement retarded the bones knitting. Took over a year to heal. I had what was, at the time, an experimental electro-magnet coil I had to wear twelve hours a day to stimulate bone growth.
 
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