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

Injury Jun 17, 2020

Lin KC, et al. - Researchers assessed 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. This study included a total of 29 individuals 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) between January 2018 and December 2018. They used ciNPT over closed incisions in the operating room and subatmospheric pressure (-125 mmHg) initiated continuously for 5~7 days. After surgery, the prophylactic ciNPT use in the trauma area decreased postoperative distension pain and improved early range of motion of the tendon and joint in these patients.

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