The complex fractures caused by high energy trauma, poses a major surgical challenge. Vessels, skin and subcutaneous tissues. The Vacuum Assisted Therapy (VAC) has become a very useful tool since the last century's 90 decade. Based in the application of negative pressure to the wound bed, promotes healing by granulation tissue formation, keeping the wound clean and avoiding bacterial colonization. Used as a primary method or in combination with others, VAC therapy allows more conservative options in the treatment of these wounds. We describe the application of the VAC therapy in a clinical case with complex injury, showing its efficacy, added the benefit of the instillation therapy.
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