title: Negative pressure wound therapy in orthopaedic surgery.
abstract: Negative pressure wound therapy (NPWT) consists in applying subatmospheric pressure to a wound that is sealed off by a specially designed dressing and connected by a tube to a suction pump and drainage collection system. Skin defects are extremely common in orthopaedic and trauma surgery. NPWT is valuable across a range of indications. Proven effects include an increase in blood flow, stimulation of angiogenesis, and a decrease in wound surface area. NPWT can be used to treat post-traumatic and surgical wounds, burns, and chronic wounds such as pressure sores and ulcers. The lower frequency of dressing changes with NPWT lightens the staff workload. The French high authority for health (HAS) has issued good practice guidelines for the use of NPWT in specific and limited indications. NPWT has benefited from the introduction of several technological improvements such as silicone interfaces, foam dressings with various densities and pore sizes, and irrigation systems. The result is greater adaptability to each specific situation. Nevertheless, NPWT is not appropriate in every case and cannot replace a necessary surgical procedure. The goal of this work is to review the principles, practical modalities, and indications of NPWT.
authors.affiliation: Institut de chirurgie de la main de l'ouest parisien, hôpital privé de l'ouest parisien, 14, rue Castiglione del Lago, 78190 Trappes, France; Urgences mains Paris Peupliers, 8, place de l'Abbé-Georges-Hénocque, 75013 Paris, France. Electronic address: drnicolasrobert@gmail.com.
authors.forename: N
authors.initials: N
authors.lastname: Robert
mesh_terms: D006801:Humans; D054843:Negative-Pressure Wound Therapy; D019637:Orthopedic Procedures; D017695:Soft Tissue Injuries / Q000628:therapy*; D013530:Surgical Wound Infection / Q000628:therapy*; D014945:Wound Healing
keywords: Acute wound; Chronic wound; Healing; Negative pressure wound therapy; Orthopaedics