European Journal of Plastic Surgery

, Volume 17, Issue 1, pp 40–42 | Cite as

Load cycling closure of fasciotomies following puff adder bite

  • A. D. Widgerow
  • M. Ritz
  • C. Song
Case Reports


A puff adder snake bite of the index finger was rapidly followed by severe swelling of the limb, necessitating multiple decompression fasciotomies. The fasciotomies were followed by a profuse outpouring of blood and plasma, resulting in tremendous metabolic upset. Skin graft closure of the fasciotomies would have placed further metabolic demands on the patient. An alternative method of closure utilizing load cycling was used in this patient.

Key words

Puff adder Load cycling Fasciotomy 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Gibson T (1977) The physical properties of skin. In: Converse JM (ed) Reconstructive plastic surgery. Saunders, Philadelphia, 1:70Google Scholar
  2. 2.
    Hirshowitz B (1978) The two stage face lift. Br J Plast Surg 31:159Google Scholar
  3. 3.
    Hirshowitz B, Kaufman T, Ullman J (1986) Reconstruction of the tip of the nose and ala by load cycling of the nasal skin and harnessing of extra skin. Plast Reconstr Surg 77:316Google Scholar
  4. 4.
    Mackay DR et al. (1990) Stretching skin: undermining is more important than intraoperative expansion. Plast Reconstr Surg 86:722Google Scholar
  5. 5.
    Visser J (1989) Effects of snakebite. In: Visser J (ed) Dangerous snakes and snakebites. Published by J. Visser, P.O. Box 20, Camps Bay 8040, pp 4–7Google Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • A. D. Widgerow
    • 1
  • M. Ritz
    • 1
  • C. Song
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryUniversity of the WitwatersrandJohannesburgSouth Africa

Personalised recommendations