Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (8): 1505-1508.doi: 10.3969/j.issn.1673-8225.2012.08.039

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Application of vacuum-sealing drainage based on biomaterial wound surface dressing in incision decompression of osteofascial compartment syndrome 

Xu Hai-dong, Chen Yong, Shang Hou-lai, Lu Jun-hao, Zhao Jian-ning   

  1. Department of Orthopaedics, Nanjing General Hospital of Nanjing Military Command of Chinese PLA, Nanjing  210002, Jiangsu Province, China
  • Received:2011-08-01 Revised:2011-10-20 Online:2012-02-19 Published:2012-02-19
  • Contact: Zhao Jian-ning, Professor, Doctoral supervisor, Department of Orthopaedics, Nanjing General Hospital of Nanjing Military Command of Chinese PLA, Nanjing 210002, Jiangsu Province, China 210002 zhaojlianning.0207@163.com
  • About author:Xu Hai-dong★, Master, Attending physician, Lecturer, Department of Orthopaedics, Nanjing General Hospital of Nanjing Military Command of Chinese PLA, Nanjing 210002, Jiangsu Province, China xuhaidong1980@ 163.com

Abstract:

BACKGROUND: Muscle bulging in vitro, stale bone wounds caused by a large number of tissue fluid exudation and high incidence of infection often appear after incision decompression of osteofascial compartment syndrome, and these are not conducive to patient recovery. Vacuum-sealing drainage (VSD) can protect the wound and avoid local toxins to enter into the blood.
OBJECTIVE: To study the curative effect of VSD based on biomaterial wound surface dressing on incision decompression of osteofascial compartment syndrome.
METHODS: Osteofascial compartment syndrome patients received incision decompression were divided into three groups by their wishes: VSD based on biomaterial wound dressing group, VSD based on synthetic wound dressing group and routine pressure dressing group. Indexes of liver and kidney functions and freshness of granulation particles were observed in all patients after 3 days of treatment.
RESULTS AND CONCLUSION: The technique of VSD could significantly protect liver and kidney functions, and the freshness of granulation particles in the VSD groups were better compared with the routine pressure dressing group (P < 0.05). Blisters around the wound could be seen in partial patients of the VSD based on synthetic wound dressing group during drainage. It is indicated that VSD based on the new biomaterial wound dressing can effectively drainage, protect liver and kidney functions by avoid toxins entering into the blood, and have a satisfactory freshness of granulation particles. It can provide a good wound surface for later skin grafting and have a good biocompatibility.

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