Delayed Soft Tissue Coverage after Negative Pressure Wound Therapy in Open Fractures of Lower Extremities / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 125-132, 2012.
Article
in Korean
| WPRIM
| ID: wpr-646375
ABSTRACT
PURPOSE:
To evaluate the delayed soft tissue coverage after previous negative wound therapy in treating wounds associated with open lower extremity fracture. MATERIALS ANDMETHODS:
Between June 2007 and February 2011, delayed soft tissue coverage of open lower extremity fractures after previous use of a negative pressure vacuum device, were performed in 15 consecutive patients. Patients included 13 male and 2 female, and their mean age was 39.0 (7-65) years old. Information on the time from injury to definitive wound coverage, type of coverage, functional result, bone union, and complications such as infection were collected.RESULTS:
The vacuum-assisted closure devices was applied for an average of 29.3 (9-50) days, and the mean time from injury to definitive wound was 36.1 (21-60) days. Skin graft coverage was performed in 5 cases, free flap in 8 cases, and local flap in 3 cases. The mean time to radiographic union was 5.2 (3-8) months and delayed union occurred in 2 cases.CONCLUSION:
Delayed soft tissue coverage after previous negative wound therapy was considered an alternative treatment method in open lower extremity fractures associated with severe concomitant injury.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Vacuum
/
Transplants
/
Lower Extremity
/
Negative-Pressure Wound Therapy
/
Free Tissue Flaps
/
Fractures, Open
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2012
Type:
Article
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