Journal of orthopaedic trauma
-
To study the effects of secondary wound closure on intramuscular pressure (IMP) in patients treated by fasciotomy for acute compartment syndrome. ⋯ Secondary wound closure or wound adaptation starting on the third day after fasciotomy seems to be a safe method of treatment in normotensive patients if IMP during wound closure is not allowed to exceed thirty millimeters of mercury.
-
Randomized Controlled Trial Comparative Study Clinical Trial
Outer gloves in orthopaedic procedures: a polyester/stainless steel wire weave glove liner compared with latex.
To compare the efficacy of traditional double latex gloving with that of a highly cut-resistant polyester/stainless steel wire weave glove (PSSWWG) over a single latex inner glove for the prevention of perforation of the inner latex glove. ⋯ The particular cut-resistant glove studied (Sceptor) did not significantly reduce the rate of inner glove perforations. Other studies with different cut-resistant glove types and protocols have proven the liners effective. We would still recommend using outer cloth or cut-resistant type gloves when bone fragments are being manipulated or when using sharp implants or saws. At a minimum, surgical gloves should be changed every two hours.