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| The clinical observation of handling the early thickness soft tissue infection after post-operative fractureof lower limb with filling in PVA foam |
| TIAN Xiue1, CHENG Shuai2, REN Qiang3, WANG Jianming3 |
1 Binzhou Medical University Hospital Operation Room,Binzhou 256603,P.R.China;
2 Dongying Municipal People's Hospital;
3 Binzhou Medical University Hospital Bone&Joint Surgery |
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Abstract Objective To investigate the clinical observation of handling the early full thickness soft tissue infection after fracture of lower limb after open reduction and internal fixation with filling in medical PVA foam with the anatomic level layered.Methods 52 cases in patients of early full thickness soft tissue infections after fracture of lower limb after open reduction and internal fixation with stage I were all treatment for stratified filling tube with medical PVA foam pouring out negative pressure closed drainage, after sealing the infusion,deep intermittent perfusion,shallow the negative pressure drainage,later from deep to shallow,withdrawal the medical PVA foam with tube layer by layer,the final closure of the wound.Results Most of the patients with sepsis rapidly control,visible fresh granulation tissue to grow in 6-7 days,14~21 days to destroy deep dead space,granulation tissue covering the bone sections,21-28 days of shallow soft tissues closed wound.During the 2-3 years of follow-up,51patients were cured the infection,fracture healing,1 cases of patients with late infection delayed healing,be cured after removing the implants with bone transport.Conclusions Layered filling medical PVA foam with tube filling vacuum sealing drainage treatment of early full thickness soft tissue infection post-operative fracture of lower limb with good effect.For each layer of tissue,less tamponade,less destructive,sinus formation is reduced, shorten the course of treatment, can deal with the early full thickness soft tissue infection after steel plate screw internal fixation of femoral fracture, avoid osteomyelitis or even amputation.
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Received: 20 March 2017
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