Towseef Ahmad Bhat1, Rouf Ibrahim2, Tariq Ahmad Bhat3, Aejaz Ahmad Bhat4. 1. Pt. JLN Govt. Medical College, Chamba, HP, India. 2. SKIMS MC Bemina, Srinagar, India. 3. Govt Sub district Hospital, Chadoora, Budgam, J and K, India. 4. Registrar, Physical Medicine and Rehabilitation, GMC, Srinagar, India.
Abstract
BACKGROUND: Open fractures are still associated with troublesome rates of infection. Thorough debridement irrigation and antibiotic cover are of paramount importance irrespective of the fixation method. VAC therapy is a well known method of accelerating the wound healing and decreasing the infection in non healing ulcers. The main drawback of VAC therapy is requirement of a special equipment and high cost. We in our hospital are using low cost custom made VAC therapy for non healing ulcers in lower socio-economic people and have seen extremely good results in wound healing and infection control. OBJECTIVE: To evaluate the role of pre operative low cost custom made VAC therapy as an adjunctive method of decreasing the rates of infection in late presenting lower limb open fractures. METHODS: A retrospective study of 26 open femur and tibia fractures for which low cost VAC therapy was used between January 2014 to January 2017. RESULTS: 2 out of 26 cases (7.4%) ended up with deep infection. CONCLUSION: Pre operative in-hospital low cost custom made VAC therapy is a useful adjunctive method of reducing infection rates in late presenting open fractures.
BACKGROUND: Open fractures are still associated with troublesome rates of infection. Thorough debridement irrigation and antibiotic cover are of paramount importance irrespective of the fixation method. VAC therapy is a well known method of accelerating the wound healing and decreasing the infection in non healing ulcers. The main drawback of VAC therapy is requirement of a special equipment and high cost. We in our hospital are using low cost custom made VAC therapy for non healing ulcers in lower socio-economic people and have seen extremely good results in wound healing and infection control. OBJECTIVE: To evaluate the role of pre operative low cost custom made VAC therapy as an adjunctive method of decreasing the rates of infection in late presenting lower limb open fractures. METHODS: A retrospective study of 26 open femur and tibia fractures for which low cost VAC therapy was used between January 2014 to January 2017. RESULTS: 2 out of 26 cases (7.4%) ended up with deep infection. CONCLUSION: Pre operative in-hospital low cost custom made VAC therapy is a useful adjunctive method of reducing infection rates in late presenting open fractures.
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