Online ISSN: 2515-8260

Keywords : OPEN FRACTURE


TO EVALUATE THE ROLE OF NEGATIVE PRESSURE WOUND THERAPY IN COMPOUND FRACTURES AFTER PRIMARY FIXATION

Dr. Nagulapati Vishnu Vardhan, Dr. Biju Ravindran, Dr. Kavarthapu Venkata Srikanth

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 75-83

INTRODUCTION: Vacuum-assisted closure (VAC) is a non-invasive, active wound management system that exposes a wound bed to local sub atmospheric pressure, removes fluid from the extravascular space, improves circulation, and enhances the proliferation of granulation tissue. The purpose of this study is to know the rate of wound infection, number of days required for making the wound fit for skin cover procedures, number of days required for formation of uniform granulation tissue bed in the wound healing treated by Vacuum Assisted Closure after primary fixation of fracture.
METHODOLOGY: Patients between 18 to 60 years were included in this prospective randomized controlled trial. Primary internal Fixation of fracture was done as soon as possible followed by VAC application. Functional outcome of cases recorded during each follow up according to Johner and Wruh’s (1983).
RESULT: According to this study, 30 patients with open fractures of both bone leg after primary internal fixation with VAC application. During follow up effective decrease (mean ± SD) in wound size after VAC therapy was 9.97±9.59 cm2 with P-value 0.0481. This technique has resulted in the effective decrease in wound size, infection and give a better functional outcome.
CONCLUSION: The greatest advantage of VAC was found to facilitate rapid formation of granulation tissue on wounds with exposed tendons, bones, raw area wounds and exposed implants hence decrease healing time and minimize soft tissue defect coverage procedures.

Outcome Analysis of Vacuum Assisted Closure in Open Fractures of Tibia at a Tertiary Care Hospital

Saurabh Sahu; Shaiwal Saxena; Anurag Tiwari; Harshit Paliwal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 1386-1390

Introduction: Despite numerous advances, compound fractures of long bones continue to be a challenge for the treating surgeons. The aim of our study is to effectively monitor the treatment outcome in cases of complex bone leg fractures treated by VAC following primary stabilization of fracture