| Negative pressure wound therapy with reticulated open cell foam-adjunctive treatment in the management of traumatic wounds of the leg: a review of the literature. | |
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MedLine Citation:
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PMID: 19034163 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Over the last decade, the application of and indications for negative pressure wound therapy with reticulated open cell foam (NPWT/ROCF) as delivered by V.A.C.(R) Therapy (KCI, San Antonio, TX) have grown tremendously. This is particularly true in orthopaedic trauma in the management of injuries to the leg, ankle, and foot. This article reviews the evidence-based medicine in terms of NPWT/ROCF, as a method of reducing bacterial counts in wounds, as a bridge until definitive bony coverage, for treating infections, and as an adjunct to wound bed preparation and for bolstering split-thickness skin grafts, dermal replacement grafts, and over muscle flaps. NPWT/ROCF has been shown to be an adjunct to the mainstays of wound management. No significant complications have been noted in the categories of NPWT/ROCF discussed in this review. In addition, evidence supports a decrease in complex soft tissue procedures in grade IIIB open fractures when NPWT/ROCF is employed. Although more research needs to be done, NPWT/ROCF appears to provide clinical benefit for the treatment of these complex lower extremity wounds. |
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Authors:
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Daniel Schlatterer; Kurt Hirshorn |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of orthopaedic trauma Volume: 22 ISSN: 1531-2291 ISO Abbreviation: J Orthop Trauma Publication Date: 2008 Nov-Dec |
Date Detail:
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Created Date: 2008-11-26 Completed Date: 2009-03-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8807705 Medline TA: J Orthop Trauma Country: United States |
Other Details:
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Languages: eng Pagination: S152-60 Citation Subset: IM |
Affiliation:
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Department of Orthopedic Surgery, Atlanta Medical Center, Atlanta, GA, USA. daniel.schlatterer@tenethealth.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Humans Leg Injuries / therapy* Negative-Pressure Wound Therapy / instrumentation*, methods* Wound Healing* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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