Clinical Observation on Vacuum Sealing Drainage for Open Tibial Fractures of Gustilo Grade-Ⅲ

［Abstract］Objective　To compare the clinical effect of vacuum sealing drainage and traditional methods on open tibial fractures of Gustilo grade-Ⅲ. Methods　Seventy-eight patients with open tibial fractures of Gustilo grade-Ⅲ were divided into two groups， 43 patients in observation group were treated by vacuum sealing drainage， while 35 patients in control group were treated by traditional methods. The operative quality，postoperative recovery condition，clinical effect and rate of adverse reaction were analyzed between two groups．Results　As for the hospital stays，healing time of wound and fracture， the observation group were significant shorter than control group （P<0.05）. The excellent and good rate of observation group was 83.72%，which was significantly higher than that of control group 65.71%（P＜0.01）. The adverse reaction rate of observation group was 6.98%，which was significantly lower than that of control group 17.14% （P＜0.05）．Conclusions　Vacuum sealing drainage used for treatment of open tibial fractures of Gustilo grade-Ⅲ can shorten wound and fracture healing time，reduce the incidence of adverse reaction and improve the clinical effect. It is worth of popularization and application.