Treatment in an outpatient setting for a patient with an infected, surgical wound with hypergranulation tissue. Academic Article Case Study uri icon

start page

  • 37

end page

  • 44


  • The purpose of this article is to describe a multifaceted approach to wound care in an outpatient setting for a patient with an infected, nonhealing surgical wound with hypergranulation tissue following fasciotomy for acute compartment syndrome. A 44-year-old male underwent an anterior and lateral lower extremity compartment fasciotomy and developed a persistent right anterolateral lower leg wound. Thirty-six days after fasciotomy he came to the authors' clinic after 2 failed skin grafts with an infected wound covered in hypergranulation tissue. Treatment included sharp debridement, saline irrigation, patient education, and dressing changes during 9 treatment sessions. The patient's total wound surface area decreased from 5.2 cm x 17.3 cm to 4 cm x 15 cm with increased epithelialization from approximately 40% to 85% after 29 days of treatment. This article demonstrates the positive effect of a multifaceted approach for facilitation of wound healing in a lower extremity wound following fasciotomy.

date/time value

  • 2009

Digital Object Identifier (DOI)

  • 10.1177/1534734608329684

PubMed Identifier

  • 19117976


  • 8


  • 1


  • Administration, Topical
  • Adult
  • Ambulatory Care
  • Anterior Compartment Syndrome
  • Bandages
  • Debridement
  • Decompression, Surgical
  • Granulation Tissue
  • Humans
  • Hydrogels
  • Male
  • Silver
  • Skin Care
  • Skin Transplantation
  • Surgical Wound Infection
  • Wound Healing