Fasciotomies are commonly performed in the treatment of compartment syndrome to upper and lower extremities. Such operations improve distal soft tissue perfusion to the surrounding muscles and nerves negating amputations. Negative pressure wound therapy (NPWT) application to the open fasciotomy sites utilizes macro- and microstrain to promote granulation tissue. Having multiple NPWT Ulta devices (Solventum, San Antonio, TX) connected to each of the four fasciotomy sites in the same patient is cumbersome to manage and takes up a large quantity of space. The V.A.C. RX-4 (Solventum, San Antonio, TX) is a single unit, multichannel device that can deliver NPWT and has a lower physical profile. This case report demonstrates the utility of the V.A.C. RX-4 in a trauma patient with four separate fasciotomy wounds.
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