Efficacy of modified vacuum-assisted dressing versus conventional betadine dressing in wound healing of open fractures

• Published in: Journal of clinical orthopaedics and trauma Vol. 51; p. 102385
• Main Authors: Sriram, V., Shivakumar, M.S., Bali, Tarun
• Format: Journal Article
• Language: English
• Published: India Elsevier B.V 01.04.2024
• Subjects: Fractures; Negative pressure wound therapy; Wound healing; Negative pressure wound therapy; Fractures; Wound healing
• ISSN: 0976-5662; 2213-3445
• DOI: 10.1016/j.jcot.2024.102385

This study aimed to compare the effectiveness of a customized vacuum-assisted dressing to traditional betadine dressings for wounds in open fractures. 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. 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. 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.