Uses of negative pressure wound therapy in orthopedic trauma

Mark J Gage; Richard S Yoon; Kenneth A Egol; Frank A Liporace

doi:10.1016/j.ocl.2014.11.002

Uses of negative pressure wound therapy in orthopedic trauma

Orthop Clin North Am. 2015 Apr;46(2):227-34. doi: 10.1016/j.ocl.2014.11.002. Epub 2014 Dec 17.

Authors

Mark J Gage¹, Richard S Yoon¹, Kenneth A Egol¹, Frank A Liporace²

Affiliations

¹ Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
² Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA; Orthopaedic Trauma and Adult Reconstruction, Department of Orthopaedic Surgery, Jersey City Medical Center, 377 Jersey Avenue, Suite 220, Jersey City, NJ 07302, USA. Electronic address: liporace33@gmail.com.

PMID: 25771317
DOI: 10.1016/j.ocl.2014.11.002

Abstract

Negative pressure wound therapy (NPWT) is a useful management tool in the treatment of traumatic wounds and high-risk incisions after surgery. Since its development nearly 2 decades ago, uses and indications of NPWT have expanded, allowing its use in a variety of clinical scenarios. In addition to providing a brief summary on its mechanism of action, this article provides a focused, algorithmic approach on the use of NPWT by reviewing the available data, the appropriate clinical scenarios and indications, and the specific strategies that can be used to maximize outcomes.

Keywords: Infection; Limb salvage; Negative pressure wound therapy; Open fracture; Open wound; Trauma; VAC; Wound dehiscence.

Publication types

Review

MeSH terms

Humans
Negative-Pressure Wound Therapy / methods*
Soft Tissue Injuries / therapy*
Treatment Outcome
Wound Healing*