In-hospital low-cost custom made VAC: Effective method for reducing infection in late presenting Open lower limb fractures in overburdened Indian hospitals
| Autor: | Towseef Ahmad Bhat, Tariq Ahmad Bhat, Rouf Ibrahim, Aejaz Ahmad Bhat |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Debridement business.industry medicine.medical_treatment 030208 emergency & critical care medicine Retrospective cohort study Fixation method Trauma Pre operative Lower limb Surgery 03 medical and health sciences 0302 clinical medicine Healing ulcers Antibiotic cover medicine Infection control Orthopedics and Sports Medicine business |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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