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Vacuum suction dressing for infected open calcaneal fractures: a case series

O. Ur Rehman, A. Hassan, Nehala Nooz, Muhammad Hassan, Imtiaz Ahmed Shakir, A. Rehman, Javed Iqbal

Journal of Surgical Case Reports, 2025

Abstract

Abstract This study reports on the management of open calcaneal fractures using vacuum suction dressing (VSD) in three cases at a tertiary care hospital. The cases include a 40-year-old man with bilateral calcaneal fractures, a 5-year-old girl with an avulsed Achilles tendon, and a 16-year-old girl with an infected open foot fracture. VSD was utilized in each case to promote wound healing, prevent severe complications like infection and amputation, and reduce the need for invasive surgery. All patients showed significant improvement, with successful wound healing and recovery over the follow-up period. The findings suggest that VSD is an effective non-surgical option for managing complex open calcaneal fractures, particularly in cases with high infection risks. However, further research is needed to establish standardized protocols for its long-term efficacy across diverse populations. The study highlights the need for more data on VSD in fracture management to validate its benefits.

How strong is the evidence?

Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

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