Vacuum assisted closure therapy versus standard wound therapy for compound fractures
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2017, Vol 3, Issue 2
Abstract
Introduction: Compound fractures are surgical emergencies which require both skeletal stability as well as adequate soft tissue coverage. Debridement of all the dead and necrotic tissue can result to large soft tissue defects. Vacuum assisted closure therapy is a newer modality which can overcome all these problems and accelerates wound healing when applied to open wounds. Aim and Objectives: To analyse and compare the results of vacuum assisted closure therapy and standard wound therapy in management of compound fractures. Materials and Methods: 30 patients having compound fractures upto grade IIIB (Gustilo and Anderson classification) were randomly treated either using SWT or VAC therapy between November 2014 to June 2016. There were 15 patients in each group. After initial wound debridement and provisional fracture fixation, therapy was started and continued till the wound got optimized for coverage either by split skin graft or flap. Results: The mean time taken by wound to get optimized for coverage in the VAC therapy group was 10.13 ± 2.55 days whereas in SWT group was 11.20±1.65 days. The mean rate of decrease in size of wound by VAC therapy was 1.5453 ± 0.5855% whereas by SWT was 1.0587 ± 0.3637%. Infection was seen in 02 patients in the VAC group and in 05 patients in the SWT group. Conclusion: VAC therapy is superior to SWT in terms of rate of decrease in size of wound, lesser infection rate and shorter time for wound to get optimized for coverage.
Authors and Affiliations
Utkal Gupta, V. P Pathania, Sanjay Gupta, Apser Khan, Sirpuneet Singh
Keywords
Related Articles
- EP ID EP293632
- DOI 10.18231/2395-1362.2017.0029
- Views 117
- Downloads 0
Evaluation of results of surgical management of lateral tibial condyle fractures using locking compression plate
Introduction Tibial plateau fractures are the common injuries that may be associated with poor outcomes and a high rate of complications The problem rise significantly in high energy trauma and severe soft tissue injurie...
A rare case of para-articular chondroma of the hip joint in an adolescent
Extraskeletal chondromas are unusual benign skeletal tumors which do not arise from the bone or perisoteum. They are predisposed to occur in adults usually around the knee joint. We report a rare form of Extraskeletal ch...
A clinical study of displaced supracondylar fracture of humerus in children treated with closed reduction and percutaneous pinning in vims, Bellary
Supracondylar humerus fractures are the commonest type of elbow fracture in children and adolescents. Supracondylar fractures in children should be handled properly to prevent complications like Volkmann’s ischemic contr...
Study of factors affecting the outcome of operative management of malleolar fractures
Introduction One of the most common fractures an orthopaedic surgeon encounters is Malleolar fractures As with all intra articular fractures accurate reduction and stable internal fixation of malleolar fractures is desir...
Functional outcome of wound coverage of soft tissue defects over ankle and foot
Introduction Open fractures around the ankle and foot are complex injuries which can lead to wound complications or amputations Based on the location soft tissue loss is treated with different varieties of flaps The focu...