Vacuum sealing drainage combined with hydrogen peroxide lavage in the treatment of postoperative infection after fracture fixation
XIA Xiong-chao
LIN Wei-wen
LUO Peng-gang
LING Hua-jun
WU Zeng-zhi
XIONG Hao
LAI Mao-song
Abstract：Objective To investigate the clinical efficacy of vacuum sealing drainage (VSD) combined with hydrogen peroxide lavage in the treatment of postoperative infection after internal fixation for fracture.Methods Seventeen patients with postoperative infection after fracture fixation were involved in this study.After thorough debridement,the infection was dressed with VSD continuous drainage combined with hydrogen peroxide lavage.After the infection subsided and the wound was fresh,direct suture or skin flap transplantation was applied to repair the wound.Results Fifteen cases of early infection were successfully repaired by direct suture or local flap transplantation after 1 time of VSD treatment.Two patients with chronic infection were treated with 2 times of VSD treatment,who recurred infection after closing the wound,and were then successfully treated by re-debridement,removal of internal fixation and VSD treatment.After 13-25 months` follow-up visits,there was no recurrence of infection,and all the fractures healed.Conclusion VSD combined with hydrogen peroxide lavage is an effective way to treat early infection after internal fixation of fracture without removal of internal fixation.It can shorten the course of treatment and is worth widely using in clinical trial.
Keywords：fractureinternal fixationinfectionvacuum sealing drainagehydrogen peroxide
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 701-703 )