Expert Wound Care in Orthopaedics at Carolina Regional Orthopaedics

We encounter many types of wounds at Carolina Regional Orthopedics. We see acute injuries, like a cut from mishandling a knife or a scrape on the knee. We also see skin tears and surgical wounds. The chronic wounds we see include many types of ulcers, including pressure, venous, arterial, diabetic, and neuropathic. With such a wide range of wounds treated, you can trust our clinical treatment of any damage you might have.

Orthopaedic wound care is a critical component of patient recovery and health. Carolina Regional Orthopaedics, a leading wound care clinic serving Eastern North Carolina, is dedicated to offering comprehensive wound care services.

7 Types of Wounds in Orthopaedics

Orthopaedic wounds vary significantly, each demanding specialized care. The seven wound types are:

  • Incisions or Cuts: These are wounds typically made by sharp objects like knives, razors, or glass. Incisions are characterized by their clean, straight edges.
  • Lacerations: Unlike incisions, lacerations are often irregular or jagged tears in the skin, usually caused by blunt trauma. They can be deeper and more irregular than a clean cut.
  • Abrasions: Superficial wounds in which the topmost layer of the skin is scraped off, often occurring from friction or rubbing against a rough surface. Examples include road rash or skinned knees.
  • Punctures: Puncture wounds are caused by an object piercing the skin, creating a small but deep hole. Examples include stepping on a nail or a needle stick. These wounds can be prone to infection and are often more dangerous than they seem on the surface.
  • Avulsions: This type of wound involves the tearing away skin and tissue. Avulsions often occur during violent accidents, such as body parts being caught in machinery, and can be severe, sometimes leading to permanent damage.
  • Ulcers: These are chronic wounds that develop due to prolonged pressure, often in individuals who are bedridden or immobile. Common types include pressure ulcers (bedsores) and diabetic ulcers.
  • Burns: Burns are tissue injuries caused by heat, chemicals, electricity, sunlight, or radiation. Burns are categorized by their depth.

Immediate and detailed treatment is crucial for traumatic wounds such as lacerations and fractures to prevent complications. Post-surgical wounds are a common aspect of orthopaedics, necessitating careful attention to ensure healing. Chronic ulcers, like diabetic foot ulcers, require consistent management due to their ongoing nature. Pressure sores, particularly in less mobile patients, demand preemptive action for prevention and treatment. Understanding these wound types is vital to providing effective, tailored patient care.

Wound Healing Process in Orthopaedics

The wound healing process in orthopaedics, overseen by our wound care specialists, is intricate. It starts with the inflammatory phase, where the body repairs damaged tissue. This progresses to the proliferative phase, with new tissue formation. The final maturation phase involves the strengthening of this new tissue. Orthopaedic devices, such as braces and casts, support this healing process. However, infection risks and bone non-union require careful monitoring and intervention from experienced wound care specialists.

3 Types of Wound Treatment

The three primary types of wound care, each suited to different kinds of wounds, include primary intention healing, secondary intention healing, and tertiary intention healing. Primary intention healing is used for clean, straight cuts or surgical incisions, where the wound edges are closed and aligned using sutures, staples, or adhesive tapes, aiming for minimal scarring and a faster healing process.

Secondary intention healing applies to wounds that cannot be closed directly, like pressure ulcers or severe trauma. These wounds are left open to heal naturally from the bottom up, filling in with new tissue over time, but this method involves a longer healing process with a higher risk of scarring and infection.

Tertiary intention healing, also known as delayed primary closure or secondary suture, is a strategy for wounds initially left open due to a high risk of infection or contamination. These wounds are closed later, once they are infection-free, combining aspects of both primary and secondary healing methods. The choice of wound care type depends on various factors, including the wound’s size, depth, location, and the patient’s overall health condition.

Wound Care Treatments and Techniques

Recent advances in wound care have significantly enhanced patient recovery in orthopaedics. Different dressing types, including hydrogel and foam, significantly manage wounds, each offering distinct benefits. Debridement procedures vary from surgical to enzymatic, tailored to the wound’s characteristics. Negative pressure wound therapy is a significant advancement, expediting healing in complex cases. Bioengineered tissue substitutes represent the forefront of regenerative medicine, bringing new possibilities to wound care.

Patient Management and Education

Effective wound care extends beyond clinical procedures. Efficient pain management is crucial for patient comfort and hastening recovery. Educating patients on proper wound care at home empowers them to participate in their healing process. Furthermore, rehabilitation and physical therapy are essential components in our clinic’s comprehensive wound care services, aiding in restoring function and preventing future injuries.

Infection Control and Prevention

Infection control is paramount in orthopaedic wound care. Effective antibiotic stewardship is critical to combat antibiotic resistance and ensure effective treatments. Aseptic surgical techniques are rigorously practiced to minimize infection risks. Monitoring and treating surgical site infections are done with the highest level of precision and care, ensuring patient safety and optimal healing outcomes.

Carolina Regional Orthopaedics, P.A.

Our commitment to providing exceptional wound care is steadfast. By integrating advanced treatments, comprehensive patient education, and stringent infection control measures, we strive to achieve the best patient outcomes. Our clinic stands as a beacon for those seeking ‘wound care near me,’ continually elevating the standards of orthopaedic wound care. If you suffer from a chronic or acute wound, seek an immediate appointment at Carolina Regional Orthopaedics, P.A.. Wound doctors and staff have helped locals like you heal wounds and tackle infection. Contact our clinic today for help!