PROSPECTIVE STUDY OF CLOSURE OF COMPOUND WOUNDS WITH STAINLESS STEEL WIRES

Dr. Pokkula Ramesh; Dr. Challuri Anita; Dr. Arige Subodh kumar; Dr. Erugurala Mahendar; Dr. Valluri Mukesh Krishna

Volume : VIII, Issue : I, January - 2019

PROSPECTIVE STUDY OF CLOSURE OF COMPOUND WOUNDS WITH STAINLESS STEEL WIRES

Dr. Pokkula Ramesh, Dr. Challuri Anita, Dr. Arige Subodh Kumar, Dr. Erugurala Mahendar, Dr. Valluri Mukesh Krishna

Abstract :

Introduction:

Chronic compound wounds are common due to increase in trauma. Wound closure using external fixators is described , inging the inherent skin properties into play, and here 24 guage Stainless Steel wire was used.

AIM:

To study the effectiveness of wound closure in compound chronic wounds using 24 guage Stainless Steel wire.

RESULTS: Study was done on 15 males, and five females , aged between 10 to 60 years, with wounds on leg, varying in sizes between 15 and 96 square centimeters. The wound closure was achieved in two weeks. Two complications of wire cutting, were addressed by skin grafting

MATERIAL AND METHODS:

Prospective study was done using 24 guage Stainless steel wire on 20 patients in Gandhi hospital in 2017.

Under Local anesthesia , two 24 guage wires were introduced in the sub–dermal plane, twisting was done on alternate days to narrow down the wound size, till approximation.

DISCUSSION: Skin has inherent properties like elasticity, stress relaxation and creep. Stainless steel wire, was used towards achieving wound closure by expanding the skin, and in all local anaesthesia, was used on out–patient basis, needing lesser time than the flap cover . The approximation time was less than three weeks.