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Sadaf Siddique
Meraj Ahmed
Purushottam Kumar
Vidyapati Choudhary



Background: Management of wounds with exposed bones and tendons is especially a difficult task in the case of children. The flap procedure is preferred by surgeons to treat the soft tissue defect with bones and tendons exposed. However, in the case of children, the thrombosis during the procedure, long duration of surgery, anastomosis of small blood vessels of children, and management of children before the surgery becomes a tough task. The novel procedure of vacuum-assisted closure of difficult is now considered by surgeons to treat children.

Objective: To assess the effectiveness of the vacuum-assisted closure of wounds in children with exposed bone and tendon wounds

Methods: In the period of February-August 2023, there were 92 patients treated for wounds with exposed bones and tendons with vacuum-assisted closure.

 Results: The average of the patients was 8.4 years. 62 children amongst the 92 were male children. 54% of the patients encountered road accidents which caused injury in the extremities. The vacuum-assisted therapy was given on average for 12 days. In 89% of the patients, almost that is 90% of the coverage was observed. However, the wounds still open were managed with flaps in 6.5% and with split skin graft in 89% of patients. The average cost per day for vacuum-assisted therapy was 2250 rupees at Patna Medical College Hospital.

 Conclusion: Vacuum-assisted closure of the wound is an effective yet safe and economical novel method of treating wounds in which bones and tendons are exposed especially in the case of children.

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