Liu Gang, Pan Shi-Peng, Chen Xin-Peng
Department of Orthopaedics, the Central Hospital of China Railway 17th Bureau, Taiyan 030032, Shangxi, China.
Zhongguo Gu Shang. 2012 Sep;25(9):782-4.
To explore the clinical effects of vacuum sealing drainage (VSD) in treating wound disunion after operation of fracture of calcaneus.
From June 2008 to December 2011, 11 patients with fracture of calcaneus complicated with wound ischemic necrosis and disunion after operation. There were 10 males and 1 female, aged from 21 to 55 years with an average of 39 years, and the course of disease in range from 7 to 9 weeks. These patients were treated with surgical debridement and VSD technique. According to calcaneal intraarticular fracture standard of ZHANG Tie-liang to evaulate the effects.
Wound area and autogeneic skin grafts healed after operation. All patients were followed up from 6 to 18 months with an average of 11 months. No wound infection and chronic osteomyelitis were found. According to above standard, 6 cases got excellent results, 4 good and 1 fair.
VSD technique in treating postoperative wound disunion of fracture of calcaneus can obtain satisfactory effects.
探讨封闭式负压引流(VSD)技术治疗跟骨骨折术后伤口不愈合的临床效果。
选取2008年6月至2011年12月间11例跟骨骨折术后伤口出现缺血坏死、不愈合的患者,其中男10例,女1例;年龄21~55岁,平均39岁;病程7~9周。采用手术清创加VSD技术治疗,参照张铁良跟骨关节内骨折标准评价疗效。
术后创面愈合,均行自体皮片移植修复。11例均获随访,随访时间6~18个月,平均11个月。无伤口感染及慢性骨髓炎发生。按上述标准评定:优6例,良4例,可1例。
VSD技术治疗跟骨骨折术后伤口不愈合效果满意。