Evaluation of Vaccum Assisted Closure Therapy for Soft Tisuue Injury in Open Musculoskeletal Trauma at Tertiary Heath Care Center-Index Medical College, Indore
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Complex musculoskeletal wound due to high energy poses a challenge to the treating surgeons regarding wound healing, coverage and reconstruction. Despite the advances in treatment to expedite wound healing by several types of treatment regimen including different types of dressings, hyperbaric oxygen therapy, several types of antiseptic agents, skin grafts or local flaps, treatment to these soft tissue injuries present dilemma to the surgeon. The application of negative pressure removes excess fluid thus promote better capillary circulation and hyperaemia, decreases bacterial load and risk of bacterial colonization and had mechanical effect in drawing wound edges closer. Initially developed in the early 1990s, for the management of large, chronically infected wounds that could not be closed in extremely debilitated patients, the use of vacuum-assisted closure (VAC) has been more recently used in the treatment of traumatic wounds Materials and Methodology Aim of Study The study was conducted with the aim to evaluate the effectiveness of vacuum assisted closure therapy for soft tissue injury in open musculoskeletal trauma. Design- Descriptive study Period of study- Study was conducted in the department of Orthopaedic IMCHRC , between Jan 2017 to Dec 2017. The study was conducted after obtaining the permission from ethical committee of the institute. Sample size 51 Patients were prospectively treated using VAC Therapy ,mean patient age 38yrs (range 18 to 60yrs).Patients were selected from ortho wards. 18 were females & 33 were males. Inclusive Criteria Age b/w 18 to 60 yrs Traumatic ulcers open musculoskeletal injuries in extremities that required coverage procedures Acute traumatic soft tissue defects/ infected soft tissue defects
Authors and Affiliations
Dr. Ravindra Gupta
Keywords
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