Clinical use of platelet-rich fibrin in the repair of non-healing incision wounds after fibular fracture surgery
| Autor: | Lin, Xingzhen, Zhu, Manhua, Yuan, Juan, Zhi, Fang, Hou, XinJu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Wound Healing
Bone Transplantation Platelet-Rich Plasma platelet rich fibrin Surgical Wound Middle Aged Bandages skin nonunion Fracture Fixation Internal Treatment Outcome Platelet-Rich Fibrin Humans Female Clinical Case Report Ankle Injuries Ankle Joint Research Article postoperative distal tibial open fracture |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Rationale: This report describes rehabilitation for a 53-year-old female recovering from non-healing skin and soft tissue defect after distal tibial open fracture by using platelet-rich fibrin topical repair following an automobile accident. Patient concerns: The patient was admitted to a rehabilitation specialty hospital approximately 1 year post a fracture of the distal left tibiofibula and separate surgical tibiofibular fracture incision and internal fixation + bone grafting. Diagnoses: Clinical presentation included the left ankle incision was interrupted for about 3 cm with poor healing, a small amount of muscle necrosis, fat liquefaction, a large amount of yellow purulent secretion overflow and necrotic material was seen in the local wound. Interventions: Platelet rich fibrin (PRF) gel was injected into the wounds and submerged sites to make full contact with the wounds and close the wounds with the autologous platelet-rich fibrin prepared by mixing, and then covered with oil gauze to keep the wounds moist and promote granulation growth. The outermost layer was covered with cotton pads. Outcomes: After 30 days of 2 PRF treatments, the skin defect was healed and no significant abnormality was observed at 6 months follow-up. Lessons: Treatment with topical autologous platelet-rich plasma gel Significantly accelerates the healing of wounds, shortens healing time, improves healing quality and reduces scar formation without significant adverse effects. |
| Databáze: | OpenAIRE |
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