Journal of orthopaedic trauma
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To evaluate the results of a vacuum-assisted closure device in patients presenting with open high-energy soft tissue injuries. ⋯ The vacuum-assisted closure appears to be a viable adjunct for the treatment of open high-energy injuries. Application can be performed as a bedside procedure but additional soft tissue reconstruction may be needed for definitive coverage. This device does not replace the need for formal debridement of necrotic tissue, but it may avoid the need for a free tissue transfer in some patients with large traumatic wounds.