Topical negative pressure in the treatment of infected wounds with exposed orthopaedic implants

Pelham, Francis R.; Kubiak, Erik N.; Sathappan, S S; Cesare, Paul E. Di

doi:10.12968/jowc.2006.15.3.26881

Cited by 16 publications

(5 citation statements)

References 17 publications

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“…These results are explained by the increase and organization of the collagen frame, the increase in vascular density while reducing the infiltration of inflammatory cells and the rate of infection. Pelham et al described the installation of NPWT on exposed osteosynthesis material with very encouraging results [8] , which could have been an option in our case. On a septic area, it is contraindicated to carry out a flap as the first intention procedure but moreover, it is not recommended to leave bone tissue uncovered either (9).…”

Section: Discussionmentioning

confidence: 66%

Negative pressure wound therapy: A salvage solution for wound treatment with exposed bone tissue

Mazy¹,

Beckers²,

Ollero³

et al. 2023

Int. J. Case Rep. Orthop.

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Negative pressure wound therapy (NPWT) is a well-known and proven treatment for wound care. However, its use on bone tissue hasn't been described so far. Wounds with visible bone tissue are difficult to manage and the results are often disappointing. We describe the case of a 75-year-old man, with cutaneous necrosis and underlying exposed hardware 7 weeks after a tibial shaft fracture treated by open reduction and internal fixation. After hardware removal, and because of the impossibility to close the soft tissue, a NPWT was directly applied to the bone. The results were encouraging, and a simple skin graft was sufficient after NPWT treatment. Through this case and after a review of the literature, it seems appropriate to extend the indications of NPWT as a salvage solution for exposed bone wound. Further studies are needed to determine the limits of this therapeutic option and to compare it with the already existing treatments.

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Section: Discussionmentioning

confidence: 66%

Negative pressure wound therapy: A salvage solution for wound treatment with exposed bone tissue

Mazy¹,

Beckers²,

Ollero³

et al. 2023

Int. J. Case Rep. Orthop.

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“…NPWT may enhance tissue granulation to allow for staged closure, particularly in the setting of residual dead space. [83][84][85] …”

Section: Management Of Soft Tissue Defects Negative Pressure Wound Thmentioning

confidence: 99%

Dead Space Management After Orthopaedic Trauma

Gage

Yoon

Gaines

et al. 2016

Journal of Orthopaedic Trauma

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“…NPWT may enhance tissue granulation over these substrates to allow staged closure. [16][17][18] However, care must be taken to protect any exposed blood vessels or nerves and not place the dressing within too close proximity (Fig. 4).…”

Section: Indicationsmentioning

confidence: 99%

Uses of Negative Pressure Wound Therapy in Orthopedic Trauma

Gage

Yoon

Egol

et al. 2015

Orthopedic Clinics of North America

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Topical negative pressure in the treatment of infected wounds with exposed orthopaedic implants

Abstract: The use of TNP on infected open wounds with exposed orthopaedic implants has not yet been described in the literature. Here, its application on these wounds accelerated healing and enabled definitive wound closure to be undertaken.

Cited by 16 publications

References 17 publications

Negative pressure wound therapy: A salvage solution for wound treatment with exposed bone tissue

Negative pressure wound therapy: A salvage solution for wound treatment with exposed bone tissue

Dead Space Management After Orthopaedic Trauma

Uses of Negative Pressure Wound Therapy in Orthopedic Trauma

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