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Experiences about Treatment of Ankle Bruise of Children by MEBO
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Add Time£º2013/12/26 17:08:47
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                                          Experiences about Treatment of Ankle Bruise of Children by MEBO

        Yao Ziwen, Zhang Yan and Yao Hui with Department of Burns and Plastic Surgery of People¡¯s Hospital of Linqu County, Shandong Province


In my daily work in Surgery Department, I frequently treat children suffering from ankle bruise due to bicycles, motorcycles or tricycles. Such accidents may results in poor blood supply of skin on medial and lateral malleolus or acrotarsium or even infections. At the same time, the scars would be very obvious due to improper treatment, and some can seriously affect functions. Since May of 2009, my department has treated 56 cases featuring bruise on ankles by combining in-situ regeneration medical techniques and MEBO Wound and Ulcer Dressing. The results were satisfactory. Now, we elaborate the clinical treatment as following:

Clinical Information

Altogether, there were 56 patients in the Group, 37 were males and 19 were females, aging from 10 months old to 6 years old, averagely 3.5 years old. Twenty one of them suffered from injuries on dorsum pedis, 17 on malleolus medialis, 9 on lateral malleolus and 9 suffered from complications. After taking the photos, no conditions about abnormal bones can be observed, no obvious damages of ligament can be found and no joints or external fixation is required. And, 28 cases presented pale skin and scars and infections after injuries, 17 presented errhysis from small wounds which were not necessary to be sutured. The patients shall be examined 10 minutes to 7 days after injury, and the average diagnosis time shall be 3 days.

Treatment Methods

After receiving clinical receptions, the combined fracture and broken ligament shall be excluded. If necessary, photos shall be taken while considering the conditions of patients and time of diagnosis and whether there are scars and infections. The wounds shall be washed or coated with normal saline. The hydrogen dioxide solution can be used to wash wounds with oil contaminations or infections in a gentle and soft manner in order to protect parabiosis tissues and prevent further damages. Then, the wounds shall be wiped dry and MEBO shall be smeared onto wounds with suitable thickness and be fixed. The position of strephexopodia or strephenopodia shall be taken considering the different position of wounds in order to reduce the tension on wounds. At the beginning, the dressing shall be changed once every other day, and patients without infected wounds shall not take antibiotics. Such patients shall change dressing once in three days based on the conditions about wound growth. Some patients with severe conditions shall change their dressings promptly and the liquefactions and necrotic tissues shall be cleansed during liquefaction phase in an effort to realize the goal of no accumulations of liquefactions, necrotic tissues and residual medicines. In addition, the dressing change time can be flexible based on different conditions. Since children are sensitive to pains and are scared about hospitals, the dressing change shall be soft and swift.

Treatment Results

The children patients can present red and tender skin around wounds after two to three times of treatment. The damaged blood capillaries will gradually be established, the parabiosis tissues will be maintained to the maximum extent. Patients with slight injuries can heal within 5 to 7 days, and those with severe conditions or infections shall heal within 2 to 3 weeks. Only one child patient took four weeks to heal, with scars and infections on skin bruises. Most children patients can heal without scars and a few of them will suffer from scattered scars like spots that are thin, soft and elastic, free from scars hyperplasia and contracture, and the joints functions can be maintained.

Clinical Discussions

Since skin of children is tender, the conditions after ankle contusion can be more serious than that of adults. Also, children sometimes cannot bear the pains in treatment and are reluctant to cooperate. In addition, the parents are usually worried that scars may affect the functions of joints after healing of wounds. Therefore, the treatment for such children patients is usually not proper. Correspondingly, the parents can also fail to cooperate, and disputes may arise. So, the key principle for treating ankle contusion of children is to relieve pains, follow the simplest means, reduce diagnosis times, shorten wound healing time, reduce scar hyperplasia and prevent influences over children joints functions, thus winning approval from parents and children patients. We adopt in-situ skin regeneration technology while using MEBO Wound and Ulcer Dressing to treat ankle contusions for children, which meet requirements above and realize sound results. We believe that the treatment enjoys the following advantages:

In-situ skin regeneration medical technology can promote the regeneration and duplication of stem cell organs of skin and realize the goal of natural repair of necrotic wounds. The skin injuries due to ankle contusion of children are mostly resulted from mechanical fraction, which are similar to burns and scolds of skin by heat sources. And, the technology can activate and regulate the residual tissues and turn them into stem cells. Through repeated activation, the culturing and connecting of cells with surrounding tissues can result in satisfactory physiological healing, thus completing the regeneration process of skin. The technology can promote local blood circulation, removing blood stasis, reduce edema, increase local blood flow and improve nutrition and metabolism of tissue cells, thus accelerating wound healing and facilitating reduction of scars.

MEBO Wound and Ulcer Dressing serves as a kind of functional dressing with a ¡°net-in-net¡± structure featuring non-woven spunlace dipped in mixture of sesame oil and bees wax. It is equipped with dressing pad that can stick automatically and can form a three dimension framework structure. The dressing can provide a physiological moist environment for the cuttings and can protect various skin ulcers, trauma and surgery cuttings. If correctly used, it can stop bleeding, relieve pains and maintain normal growth and promote physiological regeneration and repair.

In addition, the therapy is easy and applicable, featuring satisfactory results of relieving pains and of convenient care. When children patients are accepted, the wounds shall be washed for only once at initial stage. Then, they shall not be washed in every dressing change to avoid further stimulation of wounds by disinfection drugs and reduce damages over semi-viable tissues. And, the wounds can be easily treated, and parents and children can happily accept it.


 


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