Use of NPWT with and without Soft Port technology in infected foot wounds undergoing partial diabetic foot amputation

Journal of Wound Care
J A SchwartzJ C Lantis

Abstract

Negative pressure wound therapy (NPWT) has previously been shown to be effective in closing diabetic foot wounds that have undergone amputation over a 16-week period. For patients with plantar foot wounds, NPWT is a key therapy. An alternative NPWT with and without a novel soft, flexible port system needs to be evaluated for its comparable efficacy. Our objective was to show the non-inferiority of an alternative negative pressure system, and in a small subset, a novel foam dressing system. We performed a single centre prospective study of patients with diabetes undergoing open bone resection in the foot for acutely infected wounds. Wounds were treated with NPWT/soft port technology (SPT), for 112 days or until primary closure or the wound was deemed ready for delayed primary closure. Rate of closure and quality of life were analysed. A previously published cohort was used as a control. Of the 30 patients initially recruited, 29 met eligibility requirements and had NPWT applied a median of 2 days postoperatively. There were seven patients (24%) who had delayed primary closure (mean=58 days) and 52% had sufficient progress to change in treatment (15/29; mean=62 days). Only one patient reached the 112-day mark without sufficient p...Continue Reading

References

Nov 18, 2005·Lancet·David G ArmstrongUNKNOWN Diabetic Foot Study Consortium
Nov 22, 2011·Burns : Journal of the International Society for Burn Injuries·Afshin Rahmanian-SchwarzHans-Eberhard Schaller

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Citations

Jul 7, 2017·The International Journal of Lower Extremity Wounds·Xiaofang SunTing Xie
May 16, 2019·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Robert KirsnerHenry Jaimes

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Methods Mentioned

BETA
amputation
surgical resection
amputations

Software Mentioned

SAS
Renasys

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