Role of VAC-Drainage in the Treatment of Extensive Necrotizing Soft Tissue Defects in Patients with High-Energy Open Fractures of Long Bones of the Extremities

K.A. Bodachenko, A.K. Rushay


The paper presents an experience of the treatment of extensive necrotizing soft tissue defects in severe high-energy fractures of the extremities. The data of instrumental and electrophysiological studies are given, they support the effectiveness of the treatment. VAC-drainage is an important part of the treatment of patients with acute compartment syndrome. Carrying out VAC-drainage contributes to an earlier wound closing.


high-energy fractures; extensive necrotizing soft tissue defects; VAC drainage


Kelm J., Schmitt E., Anagnostakos K. Vacuum-assisted closure in the treatment of early hip joint infections // Int. J. Med. Sci. — 2009. — 6(5). —241-246.

DeFranzo A.J., Argenta L.C., Marks M.W., Molnar J.A. The use of vacuum-assisted closure therapy for the treatment of lower-extremity wounds with expose bone // Plastic and Reconstructive Surgery. — 2001. — 108(5). — 1184-91.

Herscovici D. Jr., Sanders R.W., Scaduto J.M., Infante A., DiPasquale T. Vacuum-assisted wound closure (VAC therapy) for the management of patients with high-energy soft tissue injuries // J. Orthop. Trauma. — Nov. — Dec. 2003. — 17(10). — 683-688.

Scherer L.A., Shiver S., Chang M., Meredith J.W., Owings J.T. The vacuum assisted closure device: a method of securing skin grafts and improving graft survival // Arch. Surg. — Aug. 2002. — 137(8). — 930-933; discussion 933-934.

Carson S.N., Overall K., Lee-Jahshan S., Travis E. Vacuum-assisted closure used for healing chronic wounds and skin grafts in the lower extremities // Ostomy Wound Manage. — Mar. 2004. — 50(3). — 52-58.

Armstrong D.G., Attinger C.E., Boulton A.J. et al. Guidelines regarding negative wound therapy (NPWT) in the diabetic foot // Ostomy Wound Manage. — Apr. 2004. — 50(4B Suppl.). — 3S-27S.

Antony S., Terrazas S. A retrospective study: clinical experience using vacuum-assisted closure in the treatment of wounds // J. Natl. Med. Assoc. — Aug. 2004. — 96(8). — 1073-1077.



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