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Negative Pressure Wound Therapy for Traumatic Soft Tissue Defects
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Keun Bae Lee, Jin Choi, Eun Sun Moon, Taek Rim Yoon, Keun Young Lim
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J Korean Fract Soc 2006;19(1):67-71. Published online January 31, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.1.67
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 Abstract
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To evaluate the negative pressure wound therapy for traumatic soft tissue defects by vacuum-assised closure (V.A.C.(R)).
MATERIALS AND METHODS
33 patients with traumatic soft tissue defects were treated by using V.A.C.(R) which removes edema fluid, eliminates an extrinsic cause of microcirculatory embarrassment and may directly stimulate cellular proliferation of reparative granulation tissue. We removed all necrotic tissue prior to application of the V.A.C.(R). The foam dressing was placed into direct contact with wound and was changed every 48~72 hours. The setting for vacuum pump was continuous pressure of 100 to 125 mm Hg. C-reactive protein was checked to evaluate wound infection. We measured wound size and total duration of treatment.
RESULTS
Mean duration of treatment was 25.2 days and mean decrease of wound size was 31.9%. The concentration of CRP after V.A.C.(R) therapy reduced by day 8 below 1.0 mg/dl and gradually decreased to normal level by day 10. All patients showed hastened wound healing by rapid formation of granulation tissue.
CONCLUSION
Negative pressure wound therapy is useful in patients with traumatic soft tissue defects, which reduces treatment duration and cost by rapid wound healing and effective infection control.
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Citations
Citations to this article as recorded by  - Negative-Pressure Wound Therapy Using Modified Vacuum-Assisted Closure in Patients with Diabetic Foot Ulcers
Bong Jae Kim, Ji Hye Suk, A Ra Jo, Jong Kun Ha, Chan Woo Jung, Seong Oh Park, Hyung Taek Park, Mi Kyung Kim
Journal of Korean Diabetes.2011; 12(2): 122. CrossRef - Acute Management of Soft Tissue Defect in Open Fracture
Ki-Chul Park
Journal of the Korean Fracture Society.2010; 23(1): 155. CrossRef
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Treatment of the Nonunion of Femur Shaft Fractures after Interlocking Intramedullary Nailing
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Keun Bae Lee, Eun Sun Moon, Eun Kyoo Song, Jin Choi, Sung Taek Jung
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J Korean Soc Fract 2002;15(4):497-503. Published online October 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.4.497
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Abstract
 PDF
- PURPOSE
We analyzed the results of treatment for the nonunion of femur shaft fractures after interlocking intramedullary(IM) nail fixation.
MATERIALS & METHODS: Thirty-three patients who underwent interlocking IM nailing due to femur shaft fractures from May, 1990 to July, 2000 and followed up for more than one year were evaluated retrospectively. Mean age at the time of operation was 40 years(Range, 19-68). 27 cases were men and 6 cases were women. By Weber and Brunner classification of the nonunion, hypervascular type were 10 cases(30%), avascular type 21cases(64%), mixed type 2 cases(6%). Infected type among the avascular type of nonunion were 5 cases(23%). Results were evaluated with bone union by treatment methods and complications.
RESULTS
According to the causes and types of nonunion, we performed IM nail exchange in seven cases, IM nail exchange and bone grafting in eleven cases, external fixation in five cases, compression plating and bone grafting in three cases, and only cancellous bone grafting in seven cases. Radiographical union was achieved in 19 weeks, 17 weeks, 20 weeks, 16 weeks and 15 weeks respectively. There 's no statistically significant difference between treatment methods. There are no cases of nonunion, malunion and infection.
CONCLUSION
The selection of appropriate treatment method by the cause and type of each nonunion is very important to achieve the bony union in the treatment for the nonunion of femur shaft fractures after interlocking intramedullary nailing.
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Citations
Citations to this article as recorded by - Results of Exchange Nailing in Hypertrophic Nonunion of Femoral Shaft Fracture Treated with Nailing
Suenghwan Jo, Gwang Chul Lee, Sang Hong Lee, Jun Young Lee, Dong Hwi Kim, Sung Hae Park, Young Min Cho
Journal of the Korean Fracture Society.2019; 32(2): 83. CrossRef
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