Abstract
Introduction: Open fractures which expose the internal milieu to the external environment have significant morbidity and disability due to high energy injury, with infection and subsequent delayed or non union as added complication. Currently closure of wounds in open fractures is trending towards immediate closure in adequately prepared wounds meeting safety criteria. Objective: to develop a wound closure technique with attributes; technically easy, short learning curve, cost effective, wide application and less time taking. Study design: retrospective case series carried out between 2016 to 2019 at King Fahad Hospital, Al Baha. Subjects: The study included a total of 252 patients. The age range of patients varied between 16-75 years. These included 205 males and 47 females. Out of 252 cases 241 were result of MVA and 11 due to fall from height. Results: The follow-up was for24- 36 months. 241(95.6%) were the result of MVA- 252 cases treated 7(2.7a/s) patients had fractures involving more than one limb and were considered as 'Multiple Open Fracture Cases'. Our primary outcomes were infection and healing as indicators of effect of this technique. Conclusion: This wound closure method achieves the goal of avoiding infection to achieve bone healing in a normal time frame. The method proves itself to be in tandem with the natural healing of the tissues.