Jpn. J. Vasc. Surg., 14: 689 - 693, 2005  
 
Table 1 Patients characteristics
 

Fig. 1 Methods of vacuum-assisted closure therapy.
A: After surgical debridement.
B: Application of sponge and drainage tube.
C: Closure with transparent adhesive drape and application of negative pressure.
 
Table 2 Results
 

Fig. 2 Effects of vacuum-assisted closure (VAC) therapy on a 53-year-old man.
A: Surgical debridement was performed before VAC.
B: VAC therapy of 2 weeks remarkably accelerated granulation on the wound.
C: The wound became flat with additioinal VAC of 1 week and ready for skin grafting.
D: The stump of digit amputation completely healed with skin grafting.
 

Fig. 3 An unsatisfactory case with vacuum-assisted closure (VAC) therapy.
A: Granulation on the wound was accelerated in 2 weeks with VAC therapy.
B: A small orifice and purulent discharge appeared on the wound (black arrow) 1 week after the end of VAC.
C: X-ray showed osteoclastic findings due to osteomyelitis on tarsal bones.