 Use of negative pressure wound therapy has been shown to be beneficial in significantly decreasing wound drainage. Stannard et al. reported the results of randomizing 44 patients with lower extremity fractures including 4 pilon fractures into either receiving standard post operative dressing versus NPWT negative pressure wound therapy. His results showed no difference in infection rate or wound breakdown, but did show a significant difference in the drainage time. The NPWT group stopped draining 3 days earlier than the standard dressing group. The use of NPWT has greatly increased over the years and has been an important adjunct to wound management. These results and anecdotal clinical experience with the use of NPWT wound VAC has led us to develop our research question; Does the use of incisional VAC following pelvic or acetabular surgery decrease wound complications. 