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National Journal of Clinical Orthopaedics
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2019, Vol. 3 Issue 2, Part A
Role of negative pressure wound therapy in orthopaedics: Our experience in 20 cases
Author(s): Dr. Sravya Teja Paleti and Dr. Satish M
Abstract: 
Background: Open injuries and infections are still the concern for the orthpadecians. Negative pressure wound therapy is one of several methods enabling to obtain better treatment results in case of open infected wounds. The use of negative pressure therapy enables to obtain a reduction in the number of bacteria which significantly reduces the number of complications and helps to decrease th wound size significantly.
Aims and Objectives: To review the usefulness of negative pressure wound therapy in Orthopaedics.
Materials and Methods: The cases presented in this study are those who were admitted in King George Hospital in the time period from September 2013 to September 2016. This is a prospective interventional study. In this study, 20 patients were assigned to the study group (Negative Pressure Wound Therapy- NPWT) based on their willingness for undergoing treatment.
Observations and Results: 12 males and 8 females are involved in the study. There is decrease in the mean wound area from 64 cm2 to 38 cm2. There is decrease in the duration of hospital stay. Finally, wound is closed by SSG or secondary suturing.
Discussion: NPWT is known to decrease bacterial counts. NPWT significantly decreases infection rates, enhances wound healing there by decreases the hospital stay to the patients. In our series, we had 70% (14 cases) excellent results and 30% (6 cases) good results and no poor results. As interpretation with results, VAC therapy is effective mode of adjuvant therapy for the management of infected wounds.
Conclusion: VAC has been proven to be a reliable method of treating a variety of infected wounds. It greatly increases the rate of granulation tissue formation and lowers bacterial counts to accelerate wound healing. It can be used as a temporary dressing to prepare wounds optimally prior to closure or as a definitive treatment for nonsurgical and surgical wounds. VAC is now being used in a multitude of clinical settings, including the treatment of surgical wounds, infected wounds, traumatic wounds, pressure ulcers, diabetic foot ulcers and venous stasis wounds, amputation stumps.
Pages: 22-25  |  1807 Views  169 Downloads


National Journal of Clinical Orthopaedics
How to cite this article:
Dr. Sravya Teja Paleti, Dr. Satish M. Role of negative pressure wound therapy in orthopaedics: Our experience in 20 cases. Nat J Clin Orthop 2019;3(2):22-25 DOI: https://doi.org/10.33545/orthor.2019.v3.i2a.05
National Journal of Clinical Orthopaedics
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