- Original
- Published:
Treatment of 78 type II and type IIIa open fractures by primary closure on suction drain: a prospective study
Journal of Orthopaedics and Traumatology volume 8, pages 173–176 (2007)
Abstract
The purpose of this study was to assess if primary closure of wounds on a suction drain can be performed in open fractures after debridement and to determine the risk of infection and nonunion. A total of 78 type II and type IIIa open fractures were managed with primary closure on a suction drain. They were followed until union. Rates of infection, delayed union and nonunion were determined and compared with rates reported in the literature. Overall, 16 fractures (20.5%) were complicated with superficial infections and 8 fractures (10.2%) had deep infections. Delayed union was observed in 11 fractures (14.1%) and nonunion in 12 fractures (15.3%). Primary closure of a wound on a suction drain seems to cause no significant increase in rates of infection, nonunion or delayed union.
References
Paul M, Brow MD (1997) A rational approach to the avoidance of infection in open wounds. Inst Course lectures. American Academy of Orthopaedic Surgeons, vol. XXVI
Weitz-Marshall AB, Bosse MJ (2002) Timing of closure of open fractures. J Am Acad Orthop Surg 10(6):379–384
Gustilo RB, Anderson JT (1976) Prevention of infection in treatment of 1025 open fractures of long bones: a retrospective and prospective study. J Bone Joint Surg Am 58:453–458
Koval KJ, Meadows SE, Rosen H, Silver L, Zuckerman JD (1992) Post-traumatic tibial osteomyelitis: comparison of three treatment approaches. Orthopaedics 15(4):455–460
Olson SA (2005) Open fractures. In: Bucholz RW, Heckman JD, Court-Brown CM (eds) Rockwood and Green’s fractures in adults, 5th edn. Wolters Kluwer, Philadelphia, pp 286–316
Nuzumlali ME, Kose H, Demirel D (1993) Primary closure of gunshot wounds caused by high velocity rifles. Mil Med 158(8):563–565
Benson DR, Riggins RS, Lawrence RM, Hoeprich PD, Huston AC, Harrison JA (1983) Treatment of open fractures: a prospective study. J Trauma 23(1):25–30
DeLong WG Jr, Born CT, Wei SY, Petrik ME, Ponzio R, Schwab CW (1999) Aggressive treatment of 119 open fracture wounds. J Trauma 46(6):1049–1054
Henley MB, Chapman JR (1998) Treatment of type II, IIIa, IIIb open fractures of tibial shaft: a prospective comparison of undreamed interlocking intramedullary nails and half pin external fixaters. Orthop Trauma 12(1):1–7
Merritt K (1988) Factors increasing risk of infection in patients with open fractures. J Trauma 28:823–827
Fisher MD, Gustilo RB (1991) The timing of flap coverage, bone grafting and intramedullary nailing in patients who have open tibia fracture with extensive soft tissue injury. J Bone Joint Surg Am 73:1316–1320
Haung J, Yao YJ, Huang XK (2003) Treatment of open fractures by vacuum sealing technique and internal fixation. Zhongguo Xio Fu Chong Jian Wai Ke Za Zhi 17(6):456–458 (article in Chinese)
Venturi ML, Altinger CF, Mesbaki AN, Hess CL, Graw KS (2005) Mechanism and clinical application of vacuum assisted closure device: review. Am J Clin Dermatol 6(3):185–194
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Siwach, R., Singh, R., Arya, S. et al. Treatment of 78 type II and type IIIa open fractures by primary closure on suction drain: a prospective study. J Orthopaed Traumatol 8, 173–176 (2007). https://doi.org/10.1007/s10195-007-0085-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10195-007-0085-9