Revolutionizing Recovery: How Negative-Pressure Wound Therapy Transforms Healing in Severe Open Fractures

Discover how negative-pressure wound therapy is revolutionizing the healing process for severe open fractures of the extremities, offering promising clinical outcomes in our latest deep dive.
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Evaluation of Clinical Outcomes of Negative-Pressure Wound Therapy in Gustilo-Anderson Type IIIA/IIIB Open Fractures of Extremities.

Kumaar et al., Cureus 2024
<!– DOI: 10.7759/cureus.53801 //–>
https://doi.org/10.7759/cureus.53801

Study Highlights the Efficacy of Vacuum-Assisted Closure in Open Fractures

An observational study conducted at R. L. Jalappa Hospital, Kolar, between December 2019 and July 2021, evaluated the impact of vacuum-assisted closure (VAC) therapy on wound healing and infection rates in patients with Gustilo-Anderson Type IIIA/IIIB fractures. The study involved 34 patients who underwent negative-pressure wound therapy following fracture fixation and were monitored for one month.

Key findings include a significant reduction in infection rates from 80.6% before VAC therapy to 19.4% after the intervention (p < 0.001). Additionally, the average wound size decreased from 66.05 cm2 to 27.97 cm2, indicating a substantial improvement in wound healing (p < 0.001).

This study underscores the effectiveness of VAC therapy in managing complex fractures with significant soft-tissue damage, highlighting its role in reducing infection rates and accelerating wound healing.

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