Abstract
Treatment of a crash injury is a largely complicated and time-consuming process. Multidirectional damages often result in skin necrosis, edema, blood circulation disorders and bone fractures. We present a case of a 26-year-old man with right foot crush injury. After trauma he underwent a complex therapy which embraced: anti-oedematous treatment, negative pressure wound therapy, reposition of the bones under X-ray control with the stabilization by means of Kirschner wires, immobilization and transdermal application of the platelet-rich plasma in the fracture fissure – as a nonunion treatment.
Highlights
C RUSH injury is a very serious and difficult to treat damage
One of the most serious complication associated with the crush injury is the compartment syndrome
Vacuum therapy seems to be helpful in skin injury treatment, as well as using platelet reach plasma (PRP) in delayed bone healing
Summary
C RUSH injury is a very serious and difficult to treat damage. It usually involves damage of the soft tissues and a fracture of the osseous structures. One of the most serious complication associated with the crush injury is the compartment syndrome. It may lead to irreversible damages and high morbidity, it is largely important to prevent this state or at least recognize it early. Treatment of the crush injury has to include early coverage of the skin loss, healing soft tissue damages and stabilization of the fractures. Despite early medical intervention some patients respond poorly to treatment and suffer from serious complications. Vacuum therapy seems to be helpful in skin injury treatment, as well as using platelet reach plasma (PRP) in delayed bone healing
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