Dr Khansa Sana Chaudhary, Dr Zain Akbar
Objective: The primary step in the treatment of the successful closure is the open-fractures wounds. Late/Delayed recovery or high rate of complications can cause the increase in the duration of treatment, rates of disability and costs. The purpose of this research work was to provide the comparison of the conventional dressing of wounds and negative pressure wound therapy in the patients having open-fracture wounds. Methodology: This is a prospective randomized research work in which 90 patients present with the open-fractures who got referrals for therapy, underwent study. The duration of this study was from June 2018 to August 2020. We divided the patients into 2 groups. The patients of Group-1 underwent treatment through negative pressure wound therapy and the patients of Group-2 underwent conventional dressing of wounds. We followed up the patients for complete one month. In this month of follow up, the amount of the dressing change was varying depending upon the extent of the wound in the patients. Duration of the healing of wound, the availability of the infection and amount of the days in hospitalization in all these patients were also recorded and we compared these parameters in the end of this research work between the patients of both groups. The check lists and questionnaires were utilized for the collection of data. We used the SPSS V.22 for the statistical analysis of the collected information. P value of less than 0.050 was considered as statistically significant. Results: We found difference between the rates of wound recovery in the patients of Group-1 and patients of Group-2 (P<0.050). We found no significant difference between the patients of both groups in the prevalence of the infection (P=0.60). Conclusion: Utilizing the negative pressure wound therapy expedites the process of healing of the extremity wounds. It is highly economical and it can be considered as a proper substitute for the therapy of the open-fracture wounds. Keywords: Open-Fractures Wounds, Infection, Hematoma.