دورية أكاديمية
أعرض في EDS

Evaluation of Clinical Outcomes of Negative-Pressure Wound Therapy in Gustilo-Anderson Type IIIA/IIIB Open Fractures of Extremities.

التفاصيل البيبلوغرافية
العنوان: Evaluation of Clinical Outcomes of Negative-Pressure Wound Therapy in Gustilo-Anderson Type IIIA/IIIB Open Fractures of Extremities.
المؤلفون: Kumaar A; Orthopaedics, Sri Devaraj Urs Medical College and Research Institute, Kolar, IND., Shanthappa AH; Orthopaedics, Sri Devaraj Urs Medical College and Research Institute, Kolar, IND., Hongaiah D; Plastic Surgery, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND., Sanjay N; Orthopaedics, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND., Sharma A; Orthopaedics, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.
المصدر: Cureus [Cureus] 2024 Feb 07; Vol. 16 (2), pp. e53801. Date of Electronic Publication: 2024 Feb 07 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background Open fractures are common and serious injuries that primarily affect young males. Fracture management has improved in the last decade. However, infections with their complications are still a concern, especially in open fractures for primary closure of the injured area. A newer technique called vacuum-assisted therapy has become a therapy of choice for many orthopedic surgeons. This study aimed to determine whether vacuum-assisted closure reduces the duration of wound healing and the frequency of infections after fixation of Gustilo-Anderson Type IIIA/IIIB fractures of the extremities. Methodology An observational analytical study was conducted among 34 patients with Gustilo-Anderson Type IIIA/IIIB fractures of the limbs who presented to the Department of Orthopaedics, R. L. Jalappa Hospital, Kolar, from December 2019 to July 2021. Negative-pressure wound therapy was employed for wound closure after fixation of fractures. Patients were followed up for one month. Results The mean age of the patients was 37.06 ± 10.340 years. The prevalence of infection before vacuum-assisted closure dressing was 80.6%, and the prevalence of infection after vacuum-assisted closure dressing was 19.4%. The difference in proportion before versus after the intervention was statistically significant (p < 0.001) according to the McNemar Test. Hence, vacuum-assisted closure dressing decreased the rate of infection. The mean dimension of the wound before vacuum-assisted closure therapy was 66.05 cm 2 and the mean dimension of the wound after vacuum-assisted closure therapy was 27.97 cm 2 . The difference in the mean before and after the intervention was statistically significant according to the paired t-test (p < 0.001). Hence, vacuum-assisted closure dressing helped decrease the wound size which was proven statistically. Conclusions Vacuum-assisted closure is a viable and beneficial treatment option for complicated fractures with large soft-tissue abnormalities.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2024, Kumaar et al.)
References: Ostomy Wound Manage. 2002 Apr;48(4):64-8. (PMID: 11993062)
J Trauma. 2011 Dec;71(6):1705-8. (PMID: 22182878)
J Trauma. 2003 Nov;55(5):949-54. (PMID: 14608171)
J Bone Joint Surg Am. 1976 Jun;58(4):453-8. (PMID: 773941)
Singapore Med J. 2013 Nov;54(11):620-3. (PMID: 24276097)
Ann Plast Surg. 1997 Jun;38(6):553-62. (PMID: 9188970)
Open Orthop J. 2014 Jun 27;8:142-7. (PMID: 25067967)
Indian J Orthop. 2008 Oct;42(4):377-86. (PMID: 19753224)
Adv Orthop. 2013;2013:245940. (PMID: 23878741)
Cureus. 2019 Jul 9;11(7):e5104. (PMID: 31523535)
Clin Orthop Relat Res. 2015 May;473(5):1802-11. (PMID: 25595096)
Cochrane Database Syst Rev. 2018 Jul 03;7:CD012522. (PMID: 29969521)
Br J Plast Surg. 1998 Jan;51(1):79. (PMID: 9577325)
Injury. 2001 May;32(4):329-34. (PMID: 11325370)
Ostomy Wound Manage. 2004 Nov;50(11A Suppl):15S-17S. (PMID: 15632461)
Curr Probl Surg. 2014 Jul;51(7):301-31. (PMID: 24935079)
J Orthop Trauma. 2002 Aug;16(7):484-90. (PMID: 12172278)
Clin Orthop Relat Res. 2000 Jul;(376):26-31. (PMID: 10906854)
J Pediatr Orthop. 2004 Sep-Oct;24(5):482-7. (PMID: 15308896)
J Orthop Trauma. 2012 Sep;26(9):499-505. (PMID: 22487900)
J Clin Diagn Res. 2016 Feb;10(2):RC10-4. (PMID: 27042541)
Ann Plast Surg. 1997 Jun;38(6):563-76; discussion 577. (PMID: 9188971)
J Orthop Trauma. 2004 Feb;18(2):96-101. (PMID: 14743029)
Mil Med. 1992 Oct;157(10):552-6. (PMID: 1454182)
J Orthop Surg Res. 2009 May 09;4:14. (PMID: 19426531)
J Pediatr Orthop. 2006 Nov-Dec;26(6):728-32. (PMID: 17065934)
فهرسة مساهمة: Keywords: angiogenesis; negative-pressure wound therapy; open fractures; vacuum-assisted closure; wound healing
تواريخ الأحداث: Date Created: 20240311 Latest Revision: 20240312
رمز التحديث: 20240312
مُعرف محوري في PubMed: PMC10924076
DOI: 10.7759/cureus.53801
PMID: 38465189
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.53801