Acute contaminated open forearm fractures treated with VersaJet Hydrosurgical Debridement.

摘要

The ideal method of irrigation and debridement for severe extremity wounds has yet to be determined. This report demonstrates the use of hydrosurgical debridement in the treatment of highly contaminated acute forearm fractures in a 22-year-old man ejected during a motor vehicle crash in a farm area. The result was rapid, selective, and effective debridement of deeply embedded material, which allowed for expeditious reconstruction with internal fixation, tendon transfers, and groin flap coverage while avoiding infection and injury to vital structures. The technique is described in detail and the current literature is reviewed.