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Case 56: Femur Fracture

This man fractured his mid femoral shaft 9 days ago.

1.Describe the wound

There is a long antero-lateral incision in the right thigh, exposing a large debrided area of fascia lata and underlying quadriceps muscle.

2.What has happened to require such radical debridement?

Necrotizing infection

3.Do you think this wound is suitable for a Vacuum dressing?

Not acutely, the incidence of bleeding is greater if applied early. May be suitable for Vacuum dressing in a day or two.

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