Management of Agantu Vrana (Crush injury) caused by road traffic accident - A Case Study

Abstract

Introduction: ‘Vrana Gatravichurnane’ when there is a disintegration or discolouration of site the it is a Vrana.[1] There are two types of wound according to Sushrutacharya. One is Nija and another is Agantu Vrana.[2] Crush injury is one where a part of the body is being squeezed / compressed between two force or pressure system. It causes extensive lacerations, bruising, compartment syndrome, crush syndrome, fractures, haemorrhage etc. with extensive tissue destruction and devitalization. Renal failure, hypovolemic shock and sepsis are most dreaded problems in crush injuries.[3] Case Presentation: A twenty six years male patient presented with A/H/O RTA with injury to left lower limb with profuse bleeding. Xray left foot s/o fracture of left tibia and fibula lower end. Multiple contused and lacerated wounds present over left lower limb. Management and Outcome: Debridement of wound along with open reduction and fixation with external fixators done. Followed by VAC dressing and skin grafting. Discussion: Stages of wound healing seen as per literature by Sushrutacharya. Ashudhha, Shudha, Ruhyamana and Rudhh Vrana. This case report proved that after debridement of wound and VAC along with skin grafting showed fast wound healing.