Application of vacuum sealing drainage in infection treatment early after tibiofibular fracture surgery
10.3760/cma.j.issn.1001-8050.2015.04.004
- VernacularTitle:负压封闭引流在胫腓骨骨折术后早期感染中的应用
- Author:
Xin ZHANG
;
Chengfei MENG
;
Guodong WANG
;
Feng WANG
;
Ximing LIU
- Publication Type:Journal Article
- Keywords:
Infection;
Tibial fractures;
Fibula;
Vacuum sealing drainage
- From:
Chinese Journal of Trauma
2015;31(4):303-306
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the short-term outcome of vacuum sealing drainage (VSD) in the treatment of infection early after tibiofibular fracture surgery.Methods A retrospective analysis was performed on 19 patients sustaining early infection after tibiofibular fracture surgery from December 2012 to December 2014.The patients consisted of 13 males and 6 females,aged from 26 to 57 years [(37.0 ± 5.3) years].There were 4 cases of isolate tibial fracture,2 isolate fibular fracture,and 13 tibial and fibular fracture.Open fractures were noted in 13 cases and close fractures in 6 cases.Infection occurred 14-21 days [(18.0 ± 3.3) days] after open reduction and internal fixation and was treated with gentamicin and VSD.Parameters were monitored dynamically after operation,including white blood cell count (WBC),C-reactive protein (CRP),erythrocyte sedimentation rate (ESR) and limb perimeter.Results The wound was basically debrided 7-10 days after VSD.Eighteen cases had one-stage wound closure with instrumentation preservance,and one case with progressed infection from soft tissue to bone marrow had instrumentation removal and wound suture.VSD decreased markers of inflammation including WBC,CRP,and ESR as well as limb perimeter.A follow-up of 6-24 month [(11.0 ± 2.3)months] showed fracture healing,without complications of detectable deformity growth,dysfunction,or chronic osteomyelitis.Conclusion VSD results in sufficient wound drain,reduction of swelling,decreased levels in CRP and ESR and controlled wound infection,which facilitates wound closure.
