TO EVALUATE THE OUTCOME OF VACUUM ASSISTED CLOSURE IN STABILIZED OPEN FRACTURES OF LONG BONE

Dr. Saurabh Dwivedi

Volume : IX, Issue : VII, July - 2020

TO EVALUATE THE OUTCOME OF VACUUM ASSISTED CLOSURE IN STABILIZED OPEN FRACTURES OF LONG BONE

Dr. Saurabh Dwivedi

Abstract :

Introduction Despite numerous advances, compound fractures of long bones continue to be a challenge for the treating surgeons.Standard wound dressing requires prolonged period, repeated deidement, causes more trauma to granulation tissue and has poor patient compliance. Vacuum-assisted closure(VAC) is an extremely promising therapy for treating chronic and non-healing complex wounds.The aim of our study is monitor the treatment outcome in cases of compound both bone leg fractures treated by VAC following primary stabilization of fracture. Material and Methods An interventional study was conducted, studying 60 cases of open both-bone leg fractures who were fitting in the inclusion criteria. It followed Gustillo- Anderson classification to classify cases and then mapped out various conclusions on the aim of study whilst also charting the effect of the treatment in different circumstances, demographics and like. Result Amongst the 60 cases studied,all patients were evaluated clinically after the primary fixation and following VAC application, for an average period of follow up of 12 months. Majority of patients required 4-5 VAC dressings. The mean decrease in wound size was 9.97 cm2 [21.22%]. Out of 60 patients, 8 patients had excellent, 32 patients had good, 16 patients had fair and 4 patients had poor result. Conclusion In this study, 60 patients were included with open fractures of both-bone leg after primary fixation with VAC application. The greatest advantage of VAC was found to facilitate rapid formation of granulation tissue on wounds with exposed tissue and implants hence shorten healing time and minimize secondary soft tissue defect coverage procedures. This technique has indeed resulted in the effective decrease in wound size, and decrease in hospital stay and given a better functional outcome.