Document Detail


Two simple leg net devices designed to protect lower-extremity skin grafts and donor sites and prevent decubitus ulcer.
MedLine Citation:
PMID:  17211210     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Burn therapists routinely are tasked to position the lower extremities of burn patients for pressure ulcer prevention, skin graft protection, donor site ventilation, and edema reduction. We developed two durable and low-maintenance devices that allow effective positioning of the lower extremities. The high-profile and low-profile leg net devices were simple to fabricate and maintain. The frame was assembled using a three-quarter-inch diameter copper pipe and copper fittings (45 degrees, 90 degrees, and tees). A double layer of elasticized tubular netting was pulled over the frame and doubled back for leg support to complete the devices. The devices can be placed on any bed surface. The netting can be exchanged when soiled and the frame can be disinfected between patients using standard techniques. Both devices were used on approximately 250 patients for a total of 1200 treatment days. No incidence of pressure ulcer was observed, and graft take was not adversely affected. The devices have not required repairs or replacement. Medical providers reported they are easy to apply and effectively maintain proper positioning throughout application. Neither device interfered with the application of other positioning devices. Both devices were found to be an effective method of positioning lower extremities to prevent pressure ulcer, minimize graft loss and donor site morbidity, and reduce edema. The devices allowed for proper wound ventilation and protected grafted lower extremities on any bed surface. The devices are simple to fabricate and maintain. Both devices can be effectively used simultaneously with other positioning devices.
Authors:
Travis L Hedman; Ted T Chapman; William S Dewey; Charles D Quick; Steven E Wolf; John B Holcomb
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of burn care & research : official publication of the American Burn Association     Volume:  28     ISSN:  1559-047X     ISO Abbreviation:  -     Publication Date:    2007 Jan-Feb
Date Detail:
Created Date:  2007-01-09     Completed Date:  2007-03-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101262774     Medline TA:  J Burn Care Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  115-9     Citation Subset:  IM    
Affiliation:
United States Army Institute of Surgical Research, Army Burn Center, Fort Sam Houston, Texas 78234, USA.
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MeSH Terms
Descriptor/Qualifier:
Burns / complications,  therapy*
Durable Medical Equipment*
Edema / prevention & control
Equipment Design
Graft Survival
Humans
Lower Extremity
Posture
Pressure Ulcer / etiology,  prevention & control*
Skin Transplantation*
Ventilation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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