Intervention to Early-Stage Incision Complications in Sanders III and IV Calcaneal Fractures with Self-Made Vacuum Sealing Drainage Device
Abstract: Objective: To investigate the application of self-made Vacuum sealing drainage device (sVSDD) in preventing of the abnormal incision healing in Sanders III and IV calcaneal fractures. Methods: From October 2010 to October 2015, 41 patients (44 feet), with Sanders III and type IV fractures, were treated, including 34 males and 7 females, 22 - 51 years old (average 38 years old), which were treated by plate internal fixation using lateral L-shaped incision in 8 - 13 days after frac-ture, and 8 incisions with light-yellow exudations in 5 - 9 days after surgery. A sVSDD was placed along the original incision under aseptic conditions in treatment room, and a constant negative pressure was made. 41 patients were followed up for 3 - 40 months, with an average of 15 months. Results: Exudations were disappeared in these incisions treated by sVSDD after 1 day, without incision necrosis, no shallow or deep infection, no serious complications of wound de-hiscence, sinus and plate exposure, without chronic osteomyelitis. VSD or flap was not used. Conclusion: L-shaped incision complications can be reduced by early-stage sVSDDs interventions in the Sanders III, IV type calcaneal fracture, which can create a negative pressure micro- environment, exclusion of leakage, eliminate dead space, patients are easy to accept, worthy of clinical promotion.
文章引用: 宁志刚 , 王铁翔 , 王汝杰 (2016) 自制负压封闭引流装置早期干预Sanders III、IV型跟骨骨折术后切口愈合异常。 外科， 5， 53-57. doi: 10.12677/HJS.2016.53008
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