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KMID : 0361620120470020125
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Journal of the Korean Orthopaedic Association
2012 Volume.47 No. 2 p.125 ~ p.132
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Delayed Soft Tissue Coverage after Negative Pressure Wound Therapy in Open Fractures of Lower Extremities
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Park Ki-Chul
Kim Hong-Sik
Oh Jeong-Han
Choi Seung-Suk
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Abstract
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Purpose: To evaluate the delayed soft tissue coverage after previous negative wound therapy in treating wounds associated with open lower extremity fracture.
Materials and Methods : 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 defi nitive 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 defi nitive wound was 36.1 (21-60) days. Skin graft coverage was performed in 5 cases, free fl ap in 8 cases, and local fl ap 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.
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KEYWORD
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open fractures, negative pressure wound therapy, delayed soft tissue coverage
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