Work

Negative Pressure Wound Therapy saved a limb from amputation: A case report

Year: 2024

Type: article

Abstract: Large soft tissue defects resulting from high-energy trauma , such as traffic accidents, present significant challenges in wound management due to the high risk of infection, delayed healing, and functional impairment. Negative Pressure Wound Therapy (NPWT) has emerged as a valuable treatment modality for promoting wound healing in complex cases. By applying uniform subatmospheric pressure to the wound bed, NPWT aids granulation tissue formation, removes excess fluids, reduces bacterial colonization , and stabilizes the wound environment. This report presents a case of a 21-year-old male with a large soft tissue defect extending from the femur to the left foot, complicated by necrosis, gangrene and purulent exudate. The use of NPWT for approximately 2.5 months, facilitated rapid granulation and infection control, leading to successful skin grafting . The case highlights the efficacy of NPWT in managing large, infected wounds , improving outcomes, and reducing complications associated with extensive tissue loss. Early NPWT initiation, combined with surgical debridement and skin grafting , proves to be an effective approach in trauma-induced soft tissue defects .

Source: Journal of Orthopaedic Reports

DOI: 10.1016/j.jorep.2024.100534

Authors: Dwi Purnomo Setyo Budi, Mochamad Sadabaskara, Bontor Daniel Sinaga, Filberto Budhy

Institutions: Duta Wacana Christian University, University of Indonesia, Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo

Language: English

Topic: Wound Healing and Treatments

Subfield: Rehabilitation

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600