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Irrigation and debridement performed more than 6 hours after the occurrence of an open fracture did not increase the risk of re-operation, based on research presented at a meeting. “The old dogma that open fractures need to be addressed within 6 hours of injury needs to be revisited,” Herman Johal, MD, orthopedic traumatologist and clinical scholar with the Centre for Evidence-Based Orthopaedics (CEO) and department of surgery at McMaster University in Hamilton, Ontario, told Orthopedics Today. Read More
Pressure ulcers are a major burden to patients, carers and the healthcare system. Particularly vulnerable populations are elderly, bedridden and spinal cord injured individuals. Ph.D. researcher Jibbe Soetens investigated the response of the human skin to prolonged loading. Hospitals can use his results to detect and even predict pressure ulcers. Also the design of, for example, mattresses and wheelchairs can be improved with his findings. Read More
Collagen powder is just as effective in managing skin biopsy wounds as primary closure with non-absorbable sutures, according to a first-of-its-kind study published in the Journal of Drugs in Dermatology by a team of physician researchers at the George Washington University. The team investigated the efficacy of topical collagen powder compared to primary closure on the rate and quality of full-thickness wound healing through histopathological analysis of healing and comparison of symptoms and early cosmetic outcomes. Read More
Scientists have known for decades that electrical stimulation promotes healing of chronic wounds, such as diabetic ulcers and bedsores, but how it happens has been a mystery—until now. "Electrical stimulation is directing the cells to promote migration toward the center of the wound," said Assistant Professor Mark Messerli of the South Dakota State University Department of Biology and Microbiology in the College of Natural Sciences. Messerli and his team developed a tool that predicts how cellular migration and alignment happens. Read More