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Department of Orthopedic Surgery, University Hospital Odense, Odense C, Denmark
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combination of impaired blood supply and hyperglycemic states further increases the risk of surgical-site infections ( 3 , 4 ). In such cases, as reported by Willy et al. , closed-incisional negative pressure wound therapy (iNPWT) has shown clinical
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for HBOT as an adjunctive treatment for DFUs. 51 Negative pressure wound therapy (NPWT) NPWT, also called vacuum-assisted closure, has been cited as one of the most effective current strategies in reducing the risk of amputation and
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-microbial action has shown some benefit. 19 Negative pressure wound therapy (NPWT) has been reported to decrease wound complications such as haematoma, seroma, dehiscence and infection. 66 , 67 NPWT reduces local tissue oedema, prevents deformation of the
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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microbiological concepts . Injury 2018 49 511 – 522 . ( https://doi.org/10.1016/j.injury.2016.09.019 ) 63. Blum ML Esser M Richardson M Paul E Rosenfeldt FL . Negative pressure wound therapy reduces deep infection rate in open tibial fractures
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. The patient underwent, nine months previously, exchange nailing to attempt further stimulation of the healing response. Negative pressure wound therapy has been described as a feasible adjunct in managing Gustilo III-B tibial fractures. 40
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N . Negative pressure wound therapy for treating foot wounds in people with diabetes mellitus . Cochrane Database Syst Rev 2013 ;( 10 ):CD010318. 64. Driver VR Blume PA . Evaluation of wound care and health
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-operation with plastic surgeons to perform a soft tissue and skin coverage procedure is necessary. Negative-pressure wound therapy is not recommended in PJI as the sponge becomes colonized with micro-organisms within days and is associated with the risk of
Department of Orthopaedics and Traumatology, Freiburg University Hospital, Freiburg, Germany.
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. After infection is sufficiently treated, bone and soft tissue are reconstructed using the described methods such as autograft or bone transport. A successful adjuvant in soft tissue management is negative-pressure wound therapy (NPWT), providing a chance
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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. Closure should be done in a watertight fashion, and advanced dressing should be used in this high-risk population. The authors prefer using closed incisional negative pressure wound therapy to decrease subcutaneous hematoma and seroma and improve