Re:use of vacuums and maggots in orthopaedic surgery
Thank you for your comments regarding the lack of robust evidence in
the use of vac therapy and maggots. However our experience in "selected"
orthopaedic patients with wounds in difficult anatomical locations suggest
that vac can be considered as first line. Such wounds may not be amenable
to plastic surgical reconstruction or existing conventional dressings.
Vac therapy can be successively used to significantly reduce the
wound depth (by promoting granulation) over which a skin graft or flap can
Competing interests: No competing interests