This is a 16 years old teenager who had an alleged fall when playing trampoline and sustained open fracture right tibia. There was an open wound over the shin after the fall.

Emergency surgery was done on the day of trauma. Right tibia was successfully reduced and stabilized with plate and screws.

However, he developed skin necrosis over the initial open wound at the shin. After 3 cycles of vacuum-assisted closure system, his wound was healed after 1 month.

Vacuum-assisted closure (VAC) is an alternative method of wound management, which uses the negative pressure to prepare the wound for spontaneous healing or by lesser reconstructive options.

Negative pressure therapy stabilizes the wound environment, reduces wound edema/bacterial load, improves tissue perfusion, and stimulates granulation tissue and angiogenesis. VAC therapy appears to be a simple and more effective than conventional dressings for the management of difficult wound in terms of reduction in wound volume, depth, treatment duration and cost.