A simpler, less expensive technique for delayed primary closure of fasciotomies

A variety of techniques have recently been advanced for delayed primary clo sure of wounds following emergent fasciotomy for compartment syndrome. We i ntroduce a very simple, effective method for gradual reapproximation of mar gins using daily reapplication of Steri-strips (3M Surgical Products, St. P aul, Minnesota). This method allows final closure of fasciotomy wounds with simple suture in 5-8 days without scar contractures, marginal necrosis, in fection, or significant pain. Moreover, because it requires no specialized equipment and can be applied in skilled nursing centers or at home by train ed nurses, this technique could reduce the cost of caring for fasciotomy pa tients. (C) 2000 by Excerpta Medica, Inc.