Author/Editor		Dolenc, Igor; Koglot, Franci; Kavčič, Benjamin; Polanc, Jordan; Hlede, Saša
Title		Obravnava mehkih tkiv pri maleolarnih prelomih
Translated title		Soft tissue treatment with the malleolar fractures
Type		članek
Source		In: Komadina R, Senekovič V, Krajnc A, et al, editors. Zlomi v predelu zgornjega in spodnjega skočnega sklepa. Zbornik 4. Celjski dnevi; 2003 mar; Celje. Celje: Splošna in učna bolnišnica Celje,
Publication year		2003
Volume		str. 63-6
Language		slo
Abstract		The skin and subcuticular structures at the malleolar region are endangered post traumam due to severe edema of the soft tissue. Its condition demands gentle, meticulous surgical technique. The authors have compared their retrograde results with others. In the treeyear-period (2000-2002) 32 operatively treated malleolar fractures have been analysed. The wound-edge necrosis was observed in 17 cases (12,8 %), op. wound inflammation in 12 cases (9,0 %) and full-thickness skin necrosis at 11 cases (8,3 %). Some conclusions on malleolar fracture treatment are added at the end. Timing the operation should be performed in the first 8 hour post traumam or it should be postponed for at least five days. Close reduction of the luxative fractures should be performed. According to the authors' opinion severe edema (edema bulosum) does not represent absolute contraindication to perform an osteosynthesis only in case the malleolar fracture could not be closely reduced. Subcutaneous and skin sutures should be placed and strenghtened only to the degree the capillary refilling of the skin to be perserved and to enable secretion between the sutures. The op. wound should be redressed on day 1 post op. to remove all sutures that cause tissue tension and prevent the capillary refilling of the skin.
Descriptors		ANKLE INJURIES TIBIAL FRACTURES FIBULA FRACTURE FIXATION, INTERNAL SOFT TISSUE INJURIES EDEMA NECROSIS SURGICAL WOUND INFECTION TREATMENT OUTCOME