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Objective: To evaluate and compare the dressing. We compared the site of wound on tibia,
effectiveness of Vacuum Assisted Wound Closure and the rate of wound healing. Data analysis was
(VAC) as against normal saline dressing in Gustilo performed using SPSS version 16.0. Results
type II and type IIIA, IIIB open tibia shaft fractures. were compared using Chi-square test by keeping
Methodology: It was a prospective randomized the p-value of <0.05 as significant.
comparative study carried out at Department of Result: Wound healing time was maximum of 10-
orthopedics, Pakistan Ordnance Factories 20 days in group A, and 31-40 days in group B.
(POFs) Hospital, Wah Cantt, Pakistan from March Conclusion: Vacuum-Assisted Closure Therapy
2010 to March 2012. It included a total of 50 was a superior modality of wounds treatment for
patients aged 10-40 years with open tibial shaft Gustilo type II and type IIIA, IIIB open fractures of
fractures, Gustilo type II and type IIIA, IIIB. tibial shaft as compared to normal saline soaked
Patients were divided into two equal matched gauze dressings. (Rawal Med J 2013;38: 382-384).
groups using randomization: Group A was treated Key words: Vacuum Assisted Closure (VAC),
with VAC therapy and group B with normal saline Gustilo classifiction, open fractures.
Ghulam Rasool, Muhammad Usman Ahmed, Monsif Iqbal, Ziaullah Khwaja. (2013) Vacuum assited wound closure and normal saline dressing in treatment of Gustilo type II, type IIIa and IIIb open fracture of tibia, , Volume-38, Issue-4.
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