{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T03:53:26Z","timestamp":1790913206030,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The treatment of refractory skin and soft tissue defects (RSSTDs) has long posed a global challenge for surgeons. Traditional closure methods, such as skin grafting and flap repair, are often associated with significant trauma and a steep learning curve. Skin stretching, which enables the generation of \u201cextra skin,\u201d has emerged as a promising alternative. This study aims to evaluate the efficacy of a disposable skin\u2010stretch closure (DSSC) device combined with vacuum sealing drainage (VSD) in the treatment of RSSTDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A prospective single\u2010arm clinical study was conducted to analyze the clinical data of 43 patients with RSSTDs who were treated with the DSSC device for wound repair at our hospital between July 2022 and December 2024. Among these patients, 30 were male and 13 were female, with ages ranging from 14 to 71\u2009years (mean: 41.86\u2009\u00b1\u200916.02\u2009years). The wound areas ranged from 4 to 90\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      (mean: 18.56\u2009\u00b1\u200918.04\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      ). Wound conditions (including closure and healing) and the presence of complications were recorded. Wound closure was defined as the approximation of wound edges by manually compressing the bilateral skin to achieve tension\u2010free or minimal\u2010tension coaptation, allowing direct suturing. Closure time and closure rate (wound area\/closure time) were recorded. Wound healing was defined as 100% re\u2010epithelialization of the wound surface, confirmed during two consecutive follow\u2010up assessments spaced 2\u2009weeks apart, with no exudate, drainage, or dressing requirements. Healing time and healing grade (classified as Grade A, B, or C according to wound healing classification standards) were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 43 patients were followed up, and all wounds achieved primary healing. No complications, including wound edge damage, necrosis, infection, dehiscence, or edema, were reported. Patients did not report pain or discomfort, and no significant scar formation was observed during the follow\u2010up. The wound closure time ranged from 5 to 17\u2009days (mean: 9.07\u2009\u00b1\u20092.93\u2009days), which was comparable to the 7.8\u2009\u00b1\u20093.8\u2009days reported in the literature. The wound closure rate ranged from 0.35 to 7.44\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      \/day (mean: 1.99\u2009\u00b1\u20091.63\u2009cm\n                      <jats:sup>2<\/jats:sup>\n                      \/day). The wound healing time ranged from 17 to 29\u2009days (mean: 22.74\u2009\u00b1\u20092.80\u2009days). The Visual Analog Scalescores ranged from 1 to 3 (mean: 2.02\u2009\u00b1\u20090.64), significantly lower than the 7.0\u2009\u00b1\u20091.0 reported in the literature. One patient experienced complete wound healing within 17\u2009days without the need for suturing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The DSSC device was effective in treating RSSTDs, with short wound closure times, minimal complications, and a simple procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70423","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T01:25:02Z","timestamp":1788312302000},"page":"2167-2175","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of a Disposable Skin\u2010Stretch Closure Device Combined With Vacuum Sealing Drainage in the Treatment of Refractory Skin and Soft Tissue Defects: A Single\u2010Arm Prospective Study"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6691-9357","authenticated-orcid":false,"given":"Hao","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical Center of Chinese PLA General Hospital  Beijing China"},{"name":"The Second Surgical Department Beijing Municipal Corps Hospital of Chinese People's Armed Police Force  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengguo","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Aerospace Center Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinchang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Aerospace Center Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhonghe","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical Center of Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8526-4969","authenticated-orcid":false,"given":"Yilin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical Center of Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Zhang","sequence":"additional","affiliation":[{"name":"The Second Surgical Department Beijing Municipal Corps Hospital of Chinese People's Armed Police Force  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6092-5863","authenticated-orcid":false,"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Sports Engineering Beijing Sport University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangping","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical Center of Chinese PLA General Hospital  Beijing China"},{"name":"Department of Orthopaedics Zibo Central Hospital  Zibo China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiguang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical Center of Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuangcheng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical Center of Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingxing","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical Center of Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meijing","family":"Dou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical Center of Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junjun","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical Center of Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peifu","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical Center of Chinese PLA General Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4410-6742","authenticated-orcid":false,"given":"Hua","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics The Fourth Medical 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