Use of artisanal vacuum-assisted closure therapy for the treatment of soft tissue defects in a postoperative patient with chronic tibial osteomyelitis
DOI:
https://doi.org/10.52428/20756208.v17i43.278Keywords:
handmade VAC, soft tissue defectAbstract
Adequate soft tissue coverage is important in the treatment of chronic osteomyelitis. There are many techniques for wound closure, from primary closure to the use of flaps. The vacuum-assisted closure system is a method that applies negative pressure, increasing the proliferation of granulation tissue.
A 29-year-old male patient admitted to the Orthopedics and Traumatology service of the Hospital de Clínicas, diagnosed with chronic osteomyelitis in the diaphysis of the left tibia. Surgical cleaning was performed, leaving a 6 x 3 cm soft tissue defect with bone tissue exposure. We manufactured a negative pressure device, which with accessible and cheap materials we applied to the wound for 3 weeks, changing the sponge every week. He received antibiotics according to culture and antibiogram. Complete coverage of the exposed bone was achieved by granulation tissue, subsequently skin grafting.
The VAC system revolutionized wound management, it is a safe, non-invasive treatment method with minor complications. However, the necessary time of use, materials and high rental costs make it difficult to use in our hospital, which is mostly attended by low-income patients who cannot access expensive treatment options.
Our handmade VAC turned out to be a safe, effective, economical and easy-to-use tool in the management of soft tissue defects. In addition to providing another treatment alternative with good results.
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