Trauma Case Reports (Oct 2023)

The clasp and rubber bands technique to close large skin-soft tissue defect: A case report

  • Amir Sabaghzadeh,
  • Farsad Biglari,
  • Mohammad Pourmahmoudian,
  • Hamidreza Azizifarsani,
  • Meisam Jafari Kafiabadi

Journal volume & issue
Vol. 47
p. 100915

Abstract

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This article discusses the use of the skin-stretching technique (SST) to manage large soft tissue defects resulting from various causes. The other surgical techniques for closing such defects, such as pedicle flaps and free tissue flaps, are often associated with significant morbidity and cost. The SST involves progressively stretching soft tissue using an external device to reduce defect size or complete wound coverage. The article describes a simple, inexpensive, and readily available method for managing large wound defects using clasps and rubber bands. The article also highlights the potential complications associated with SST such as skin necrosis, pin site infection, wound dehiscence, infection, and pain. Overall, SST is a promising alternative for the management of large soft tissue defects that are not amenable to direct suturing.

Keywords