Robert N
Orthopaedics & traumatology, surgery & research : OTSR. Date of publication 2017 Feb 1;volume 103(1S):S99-S103.
1. Orthop Traumatol Surg Res. 2017 Feb;103(1S):S99-S103. doi:
10.1016/j.otsr.2016.04.018. Epub 2016 Dec 30.
Negative pressure wound therapy in orthopaedic surgery.
Robert N(1).
Author information:
(1)Institut de chirurgie de la main de l'ouest parisien, hôpital privé de l'ouest
parisien, 14, rue Castiglione del Lago, 78190 Trappes, France; Urgences mains
Paris Peupliers, 8, place de l'Abbé-Georges-Hénocque, 75013 Paris, France.
Electronic address: drnicolasrobert@gmail.com.
Negative pressure wound therapy (NPWT) consists in applying subatmospheric
pressure to a wound that is sealed off by a specially designed dressing and
connected by a tube to a suction pump and drainage collection system. Skin
defects are extremely common in orthopaedic and trauma surgery. NPWT is valuable
across a range of indications. Proven effects include an increase in blood flow,
stimulation of angiogenesis, and a decrease in wound surface area. NPWT can be
used to treat post-traumatic and surgical wounds, burns, and chronic wounds such
as pressure sores and ulcers. The lower frequency of dressing changes with NPWT
lightens the staff workload. The French high authority for health (HAS) has
issued good practice guidelines for the use of NPWT in specific and limited
indications. NPWT has benefited from the introduction of several technological
improvements such as silicone interfaces, foam dressings with various densities
and pore sizes, and irrigation systems. The result is greater adaptability to
each specific situation. Nevertheless, NPWT is not appropriate in every case and
cannot replace a necessary surgical procedure. The goal of this work is to review
the principles, practical modalities, and indications of NPWT.
Copyright © 2016 Elsevier Masson SAS. All rights reserved.
DOI: 10.1016/j.otsr.2016.04.018
PMID: 28043851 [Indexed for MEDLINE]
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