Effect evaluation of emergency use of external fixation combined with VSD for open fractures of extremities with & nbsp;serious soft tissue injury
Objective To investigate the clinical effect of external fixation combined with vacuum sealing drainage(vacuum sealing drainage,VSD) in emergency treatment of open fractures of extremities with severe soft tissue injury. Methods Totally 38 cases open limb fractures with serious soft tissue injury were treated with external fixator supplemented with limited internal fixation and combined with VSD in emergency. 11 cases with large area skin avulsion were treated by skin grafting. Totally 24 cases of soft tissue defect cannot be repaired in one-stage. Skin defects were filled by granulation tissue after the application of VSD and repaired by flaps and free skin graft. Totally 7 cases of Soft tissue serious pollution and high swelling, after two times debridement and application of VSD,were repaired by suture or autologous split-thickness skin graft. Results 11 cases of skin grafting were almost healed. 20 cases of soft tissue defect were not infected.7 cases of Soft tissue serious pollution and high swelling regress without the occurrence of osteofascial compartment syndrome.Laps and skin graft after the secondary operation all survived. During follow-up ranging from 6-24 months, all cases were healed without the occurrence of osteomyelitis and nonunion. External fixation and internal fixation were removed. Conclusion Using external fixation combined with VSD is an effective and efficient method for treating open fracture of extremities with Serious soft tissue injury.
Open fracturesSoft tissue injuryExternal fixationVacuum sealing drainage
NETL
NSTL
万方数据
维普
