Effects of Innovative Customised Negative Pressure Wound Therapy in the Management of Compound Fracture of Long Bone
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 7, Issue 2
Abstract
Background: This is a prospective study was conducted to assess the efficacy of topical negative pressure wound dressings as compared to conventional moist wound dressings in improving the healing process in wounds and to prove that negative pressure dressings can be used as a much better treatment option in the management of wounds. Hence the present study was carried out to find out the efficacy of topical negative pressure dressing in healing of wounds, and to observe for the adverse events that occur in NPWT. Methods: This study was conducted in 30 cases over a period of 2 years from November 2014 to November 2016. Material used for the application of topical negative pressure dressings needs the following materials. A paraffin impregnated gauge (Cuticell), a sponge foam/ sterilized dressing pad (Cutisorb), a pair of Redon drainage tubes with suction in wards. Results: Majority of the cases showed better wound healing in 1-2 weeks while 16.67% of the cases who were above 60 years of age, showed healing by the end of 3-4 weeks. Although a sample size of 30 patients is sufficient for statistical analysis, a randomized controlled study with a much larger population may help to further substantiate the findings or reveal variations. Conclusion: Negative pressure wound therapy can be used as an excellent initial dressing after wound debridement, because it effectively reduces wound edema, controls local bacterial growth, and promotes the formation of granulation tissue.
Authors and Affiliations
Nikhil Suri, Sanjay Mulay, D V Prasad
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