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Safety and efficacy of prophylactic closed incision negative pressure therapy after acute fracture surgery

Injury Jun 06, 2020

Lin KC, et al. - This research was undertaken to assess closed incision negative pressure therapy (ciNPT) applying wide-range cover over the incision site and the peripheral swelling trauma zone to promote early active motion and to mitigate joint stiffness, bulla formation, and tendon adhesion. Between January 2018 and December 2018, researchers included 29 patients. They recruited patients with high-energy soft tissue trauma and comminuted fractures over distal end of limbs (hand and foot; wrist and ankle) or muscle scarcity areas (tibial shaft or patella). They used ciNPT over closed incisions in the operating room and subatmospheric pressure (-125 mmHg) initiated continuously for 5~7 days. It was found that the prophylactic ciNPT use in the trauma area after surgery decreased postoperative distension pain and improved early range of motion of the tendon and joint in these patients.

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