Negative pressure wound therapy… A healing touch approach to difficult wounds in orthopedic practice… A systematic review

Vol 41 | Issue 1 | Jan-Jun 2020 | page: 41-45 | Bikram Kar, Buddhadeb Nayak, Harshal Sakale, Alok C Agrawal

Authors: Bikram Kar [1], Buddhadeb Nayak [1], Harshal Sakale [1], Alok C Agrawal [1]

[1] Department of Orthopaedics, SCB Medical College, Cuttack, Odisha India.

Address of Correspondence
Dr. Buddhadeb Nayak,
SCB Medical College, Cuttack, Odisha India.


The routine use of Negative Pressure Wound Therapy (NPWT) in big and complex wounds has gained the momentum over the past couple of years .In addition to surgical debridement for treating tissue defects around open fractures and chronic non healing ulcers, contaminated wounds in orthopaedic trauma, open fractures with soft tissue defects, its usage is frequently seen with increasing evidence to aid closed incisions having high risk of wound breakdown. Also the evidence for its use on skin grafts is now well established.
This review will analyze the available literature in order to summarize the current understanding of NPWT in terms of its mechanism of action, its applications, complications, contraindications and its future. Research on the application of NPWT in treating chronic non-healing wounds has largely taken the form of case studies, single-center studies, non-randomized controlled trials, with few randomized controlled trials (RCTs). Our aim is to summarize the current and emerging indications for negative pressure wound therapy in Orthopaedic trauma and the existing evidence for its use.
Keywords: Negative pressure wound therapy, Open fractures, Trauma, Wound management.


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How to Cite this Article: Kar B, Nayak B, Sakale H, Agrawal A C. | Negative pressure wound therapy… A healing touch approach to difficult wounds in orthopedic practice… a systematic review. | Odisha Journal of Orthopaedics & Trauma | Jan-June 2020; 41(1): 41-45 .

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