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Hyun, Kim, Shin, Hong, Park, and Choi: Meshed Stab Incision for Severe Swelling after Foot and Ankle Injury: A Technical Report
Technical Report

J Korean Foot Ankle Soc 2015;19(1):39-41.

Published online: 19 January 2015

DOI: https://doi.org/10.14193/jkfas.2015.19.1.39

Meshed Stab Incision for Severe Swelling after Foot and Ankle Injury: A Technical Report

Yoon-Suk Hyun, Gab-Lae Kim, Sung-Il Shin, Sung-Yup Hong, Jung-Seob Park, Sang-Min Choi

Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea

Corresponding Author: Gab-Lae Kim Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, 150 Seongan-ro, Gangdong-gu, Seoul 134-701, Korea Tel: 82-2-2224-2230, Fax: 82-2-489-4391, E-mail: kiga9@hallym.or.kr

Received 23 October 20149 February 2015       Accepted 10 February 2015

Copyright © 2015 Korean Foot and Ankle Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Swelling is a body’s natural reaction to foot and ankle injury to mount a healing inflammatory response. To some degree, swelling is necessary for healing and is something that cannot be avoided following injury. However, post-traumatic swelling may have an adverse effect on wound healing and surgery can often be delayed due to preoperative swelling. We report on a unique technique of making multiple meshed stab incisions around the site of injury to reduce soft tissue swelling and promote wound healing.

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Keywords: Swelling, Meshed, Stab incision

REFERENCES

1.Carati CJ., Anderson SN., Gannon BJ., Piller NB. Treatment of postmastectomy lymphedema with low-level laser therapy: a double blind, placebo-controlled trial. Cancer. 2003. 98:1114–22.
2.Burkhardt A., Joachim L. Clinical options in edema control. J Hand Ther. 1993. 6:337–8.
3.Faghri PD. The effects of neuromuscular stimulation-induced muscle contraction versus elevation on hand edema in CVA patients. J Hand Ther. 1997. 10:29–34.
crossref
4.Vasudevan SV., Melvin JL. Upper extremity edema control: rationale of the techniques. Am J Occup Ther. 1979. 33:520–3.
5.Matsen FA 3rd., Krugmire RB Jr. The effect of externally applied pressure on post-fracture swelling. J Bone Joint Surg Am. 1974. 56:1586–91.
crossref
6.Sorenson MK. The edematous hand. Phys Ther. 1989. 69:1059–64.
crossref
7.Howard SB., Krishnagiri S. The use of manual edema mobilization for the reduction of persistent edema in the upper limb. J Hand Ther. 2001. 14:291–301.
8.Casley-Smith JR., Gaffney RM. Excess plasma proteins as a cause of chronic inflammation and lymphodema: quantitative electron microscopy. J Pathol. 1981. 133:243–72.
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jkfas-19-39f1.tif
Figure 1.
(A) A 22-year-old male patient had severe swelling with blister formation on his right foot. (B) Simple radiograph shows multiple fracture on his right foot.
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jkfas-19-39f2.tif
Figure 2.
Postoperative radiograph shows reduction and internal fixation of the multiple fractures.
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jkfas-19-39f3.tif
Figure 3.
Intraoperative clinical photos show widening of multiple stab incisions by mosquito (A), irrigation using a 50 mL syringe (B), and the final state of meshed stab incision with number 11 scalpel blade (C). (D) Clinical photo taken 7 days after surgery shows decreased swelling without any signs of infection.
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