A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries

BioMed Research International
Hyung Sup ShimSang Wha Kim

Abstract

In this study, we compared outcomes in patients with acute hand injury, who were managed with or without negative pressure wound therapy (NPWT) after reconstructive surgery. All of the patients who sustained acute and multitissue injuries of the hand were identified. After reconstructive surgery, a conventional dressing was applied in Group 1 and NPWT was applied in Group 2. The dressing and NPWT were changed every 3 days. The mean age and Hand Injury Severity Scoring System score of both groups were not significantly different. Disabilities of the Arm, Shoulder, and Hand (DASH) scores were evaluated 1 month after all the sutures were removed and 1 year postoperatively, which were both significantly lower in Group 2. Applying NPWT to the hand promoted wound healing by reducing edema, stabilizing the wound, and providing immobilization in a functional position. Early wound healing and decreased complications enabled early rehabilitation, which led to successful functional recovery, both objectively and subjectively.

References

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Oct 11, 2002·The Journal of the American Academy of Orthopaedic Surgeons·Lawrence X Webb
Nov 28, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Nicolas KairinosDonald A Hudson
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Mar 21, 2016·The British Journal of Surgery·N HyldigC Bille

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Citations

Oct 1, 2019·JBI Database of Systematic Reviews and Implementation Reports·Yaxuan FangPing Zhang
May 2, 2020·The Cochrane Database of Systematic Reviews·Gill NormanAdam Reid
Jan 9, 2020·Archives of Craniofacial Surgery·Dongkeun JunMyungchul Lee
Jun 17, 2020·The Cochrane Database of Systematic Reviews·Gill NormanAdam Reid

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