Vacuum sealing drainage technique in the treatment of open fracture with soft tissue defect

Objective To study the clinical effect of vacuum sealing drainage( VSD) in the treatment of open fractures with soft tissue defect. Methods 25 patients with open fractures and soft tissue defects were treated by VSD and internal fixation or external fixation,adjacent flap or skin grafting. Results All patients were followed up for 4 ~18 months. 16 patients were treated by VSD for 5 ~ 7 days,and then through skin grafting treatment,the wound were healed. 7 cases of more severe open fracture with soft tissue defects in patients with VSD treatment by 2 times,which were given skin grafting and adjacent flap to cover the wound,the wound were healed. 2 cases of the most severe open fracture with soft tissue defects in patients with VSD treatment by 3 times,giving skin grafting and adjacent flap to cover the wound,the wound were healed. Conclusions VSD can stimulate the growth of granulation tissue,control wound inflammation. Only with simple skin grafting or adjacent flap,VSD can repair most refractory tissue defect satisfactorily.