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Role of Vacuum Suction Therapy in Orthopaedic Wound Closure

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Handbook of Orthopaedic Trauma Implantology


The limb soft-tissue envelope damage due to high energy trauma requires efficient solutions to achieve healing and avoid complications. Since the first descriptions in the late eighties of vacuum dressings, many publications show that the negative pressure wound therapy is a good and safe option to manage complex cases, from basic principles to clinical control trials. Three principal mechanisms of functioning have to be taken into account: Angiogenesis, more granulation tissue formation, and reduction of oedema. The materials and technologies are continuously improving. However, it is essential to clarify that this kind of procedure does not replace an efficient surgical technique. The principal indications for the use of vacuum suction are open fractures and soft tissue injuries. However, its role in closed surgical operations is debatable. The major contraindications are in the context of bleeding disorders, both local and systemic. Clinical trials support its use as a temporary treatment and augmentation of incisional wounds but do not recommend it in the treatment of infections. Vacuum Therapy has to be considered a temporary advanced wound dressing technique that every orthopaedic trauma surgeon must know and use.

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Correspondence to Álvaro I. Zamorano .

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Zamorano, Á.I., Zecchetto, P., Bahamonde, L.A. (2023). Role of Vacuum Suction Therapy in Orthopaedic Wound Closure. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore.

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