Results:
Results were encouraging when the Pasha Device was used for dermo traction to treat a fasciotomy wound related to a closed tibial diaphyseal fracture, especially in a patient who had vascular impairment.
In our case study, a young male patient involved in a road traffic accident presented with a closed fracture of the Tibia, accompanied by a compromised distal neurovascular bundle necessitating urgent fasciotomy. Upon exploration, a general surgeon observed and promptly repaired the transection of the posterior tibial artery. Subsequently, an external fixator application was performed for tibia fixation.
Following four days of fasciotomy and external fixator application, closure of the fasciotomy wound was planned. The Pasha Device, a novel instrument designed for dermo traction and the Illizarov traction regeneration technique, was utilized for this purpose. The device, incorporating components of the Illizarov method, facilitated dermo traction by inserting two wires in the subcutaneous planes of the wound along with two threaded bars. Pulley sutures using Proline-01 were employed for wound closure, and the two bars were fixated on the wound borders.
Over 20 days, the device’s wires were gradually tightened, progressively bringing the wound edges closer through dermo traction. This process led to the wound’s closure within the stipulated time frame. By day 35, the wound exhibited complete healing, showcasing the effectiveness of the dermo traction technique facilitated by the Pasha Device.