关键词: Fractures Negative pressure wound therapy Wound healing

来  源:   DOI:10.1016/j.jcot.2024.102385   PDF(Pubmed)

Abstract:
UNASSIGNED: This study aimed to compare the effectiveness of a customized vacuum-assisted dressing to traditional betadine dressings for wounds in open fractures.
UNASSIGNED: In this prospective comparative study, 30 patients from two groups-group A receiving V.A.C. while group B receiving traditional dressing-were given data from sixty participants with open fractures. Wound was evaluated on days 0, 3, 7, 11, and 15 of the study.
UNASSIGNED: In group A, there was a statistically significant decrease in the mean dimension of the wound overall (15.66 mm vs. 7.4 mm in group B), and it took an average of 9.83 days for healthy granulation tissue to emerge. In contrast to the 21 patients who had split skin grafting, five patients needed a flap as a final closure surgery. In group B, it took an average of 17 days for healthy granulation tissue to emerge. The authors used split skin grafting to close the wounds in 18 patients, and the wound was allowed to heal by secondary intention in 8 patients, while the flap was used in 4 patients.
UNASSIGNED: On comparing the modified Vacuum-assisted dressing to the standard dressing, there was considerable wound contraction and accelerated healing. Therefore, the authors observed that vacuum-assisted dressing treatment is superior to traditional betadine dressing in open fractures.
摘要:
本研究旨在比较定制的真空辅助敷料与传统的倍他定敷料对开放性骨折伤口的有效性。
在这项前瞻性比较研究中,来自两组的30例患者-A组接受V.A.C,而B组接受传统敷料-获得了来自60名开放性骨折参与者的数据。在研究的第0、3、7、11和15天评估伤口。
在A组中,整体伤口的平均尺寸有统计学上的显着下降(15.66mmvs.B组7.4mm),健康的肉芽组织平均需要9.83天。与21例裂开植皮患者相比,五名患者需要皮瓣作为最后的闭合手术。B组,健康的肉芽组织平均需要17天才能出现。作者使用裂口植皮术闭合了18例患者的伤口,8名患者的伤口被允许通过次要意图愈合,而4例患者使用皮瓣。
关于将改良的真空辅助敷料与标准敷料进行比较,有相当大的伤口收缩和加速愈合。因此,作者观察到真空辅助敷料治疗开放性骨折优于传统的倍他定敷料.
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