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.