Chen H, Teng X, Hu XH, Cheng L, Du WL, Shen YM. Application of a pre-filled tissue expander for preventing soft tissue incarceration during tibial distraction osteogenesis. World J Clin Cases 2020; 8(11): 2181-2189 [PMID: 32548148 DOI: 10.12998/wjcc.v8.i11.2181]
Corresponding Author of This Article
Yu-Ming Shen, MD, Professor, Chief, Department of Burns and Plastic Surgery, Beijing Jishuitan Hospital, No. 31 Xinjiekoudong Street, Xicheng District, Beijing 100035, China. shenyumingjst@126.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 6, 2020; 8(11): 2181-2189 Published online Jun 6, 2020. doi: 10.12998/wjcc.v8.i11.2181
Application of a pre-filled tissue expander for preventing soft tissue incarceration during tibial distraction osteogenesis
Hui Chen, Xing Teng, Xiao-Hua Hu, Lin Cheng, Wei-Li Du, Yu-Ming Shen
Hui Chen, Xiao-Hua Hu, Lin Cheng, Wei-Li Du, Yu-Ming Shen, Department of Burns and Plastic Surgery, Beijing Jishuitan Hospital, Beijing 100035, China
Xing Teng, Department of Traumatic Orthopedics, Beijing Jishuitan Hospital, Beijing 100035, China
Author contributions: Chen H, Teng X, Hu XH, Cheng L, Du WL, and Shen YM contributed to the writing and revising of the manuscript; all authors proofed the revised version of the manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Beijing Jishuitan Hospital.
Informed consent statement: Patients were not required to give informed consent as the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yu-Ming Shen, MD, Professor, Chief, Department of Burns and Plastic Surgery, Beijing Jishuitan Hospital, No. 31 Xinjiekoudong Street, Xicheng District, Beijing 100035, China. shenyumingjst@126.com
Received: March 14, 2020 Peer-review started: March 14, 2020 First decision: April 14, 2020 Revised: April 19, 2020 Accepted: May 13, 2020 Article in press: May 13, 2020 Published online: June 6, 2020 Processing time: 86 Days and 1.2 Hours
ARTICLE HIGHLIGHTS
Research background
Bone transport and distraction osteogenesis has been widely used to treat bone defects after traumatic surgery; however, skin and soft tissue incarceration is high.
Research motivation
The authors inserted a tissue expander in the defect area between the tibial ends to prevent possible skin and soft tissue incarceration during bone transport and distraction osteogenesis.
Research objectives
In this study, the authors aimed to investigate the efficacy of inserting a tissue expander to prevent soft tissue incarceration.
Research methods
Twelve patients underwent implantation of a tissue expander in the subcutaneous layer in the vicinity of a tibial defect to maintain the soft tissue in position.
Research results
The expanders remained intact in the subcutaneous layer of the bone defect area during the course of transport distraction osteogenesis in all 12 patients. During the whole process, there was no incarceration of skin and soft tissue in the bone defect area. Complications occurred in one patient, who experienced poor wound healing.
Research conclusions
The authors’ primary success with this method indicates that it may be a valuable tool in the management of incarcerated soft tissue. The pre-filled expander technique can effectively avoid incarceration.
Research perspectives
After referring to domestic and foreign literature, the method reported in this study is actually the first treatment method of this type that offers advantages such as simple operation procedure and strong practicability, and it is worth performing this method in clinical practice in the future.
