关键词: Case report Fractures Rehabilitation Ultraviolet Wound

来  源:   DOI:10.1016/j.ijscr.2023.108949   PDF(Pubmed)

Abstract:
UNASSIGNED: The purpose of this case is to present a useful phototherapy for rapid healing of recalcitrant postoperative wound disunion due to implantation of allogeneic bone and metal.
METHODS: In this case, a middle-aged man was diagnosed as complex fracture of the left tibial plateau which caused movement loss, swelling and pain of the left knee. The patient\'s wound disunion was still present after been surgery for 26 days, with yellowish liquid persistently oozing out of the wound after several wound dressing. We treated the postoperative wound with ultraviolet light C (UVC) to promote wound healing.
UNASSIGNED: Incision disunion is a common complication of surgery, which increases patients\' hospital days. Prevention and treatment of wound disunion is one of the key considerations for perioperative management.
CONCLUSIONS: During 3-day consecutive UVC treatment, the yellowish wound exudate gradually reduced and disappeared. Subsequently, the non-healing postoperative wound scared over and healed rapidly. As a convenient, non-invasive, non-polluting and effectively physical therapy, UVC can promote rapid healing of recalcitrant wound disunion caused by implants in complex tibial plateau fracture.
摘要:
这种情况的目的是提供一种有用的光疗,以快速愈合由于同种异体骨和金属的植入而导致的顽固性术后伤口不愈合。
方法:在这种情况下,一名中年男子被诊断为左胫骨平台复杂骨折,导致运动丧失,左膝盖肿胀和疼痛。病人的伤口在手术26天后仍然存在,在几次伤口敷料后,黄色液体持续渗出伤口。我们用紫外线C(UVC)治疗术后伤口,以促进伤口愈合。
切口不愈合是手术的常见并发症,这增加了患者的住院天数。预防和治疗伤口不愈合是围手术期处理的关键考虑因素之一。
结论:在连续3天的UVC治疗中,微黄色伤口渗出液逐渐减少并消失。随后,未愈合的术后伤口害怕并迅速愈合。作为一种方便,非侵入性,无污染和有效的物理治疗,UVC可以促进复杂胫骨平台骨折植入物引起的顽固性伤口的快速愈合。
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