Continuous vacuum-assisted closure in orthopedic trauma clinical observation.docVIP

 PAGE \* MERGEFORMAT 11 Continuous vacuum-assisted closure in orthopedic trauma clinical observation Of: Zhu Lei, Li Guoqing, Wang Lai-Bin, Jiang Feng, Zhou Xiaodong, Yang Haitao, Chen Zi [Abstract] Objective To observe the continuous vacuum assisted closure (vacuum sealing drainage, VSD) technology in the clinical efficacy of orthopedic trauma. Methods of December 2008 to October 2009 16 patients admitted to the clinical complexity of skin and soft tissue defects in traumatic and open fracture surgical debridement of postoperative infection, the application continued to cover the wound VAC dressings, suction continued to attract 7 ~ 9 d after treatment to remove dressings (VSD dressing can be replaced when necessary) and then the line of free skin grafting. Results of 16 cases patients with VSD, 10 patients underwent two skin graft all survived the treatment, 6 patients underwent two skin graft after treatment all survived VSD. Conclusion VSD can thoroughly remove necrotic tissue and wound secretions, stimulate granulation and rapid control of infection, significantly reduced traumatic soft tissue defects of the treatment time, reduce the pain of dressing changes, the effect is significant. [Keywords:] skin and soft tissue defects, fractures, postoperative infection, continuous vacuum assisted closure With the development of industrialization and transportation, open fractures and large areas of skin and soft tissue injury such as severe combined injuries result in skin and soft tissue defects of traumatic and important organizations working in the surgical trauma exposed is facing difficulties. The trauma longer duration, high cost, often repeated dressing increases the workload of medical staff, and the treatment effect was not significant, most of the need to pedicle or free flap surgery to remove the wound, surgery risky, likely to cause medical disputes. in our hospital from December 2008 to the October 2009 introduction of continuous negative