Negative-Pressure Wound Therapy in Foot and Ankle Surgery

被引：10

作者：

Kunze, Kyle N. ^{[1
]}

Hamid, Kamran S. ^{[1
]}

Lee, Simon ^{[1
]}

Halvorson, Jason J. ^{[2
]}

Earhart, Jeffrey S. ^{[3
]}

Bohl, Daniel D. ^{[1
]}

机构：

[1] Rush Univ, Med Ctr, Dept Orthopaed Surg, 1611 W Harrison St,Suite 300, Chicago, IL 60612 USA

[2] Wake Forest Baptist Hlth Ctr, Dept Orthopaed Surg, Winston Salem, NC USA

[3] OrthoIllinois, Rockford, IL USA

来源：

FOOT & ANKLE INTERNATIONAL | 2020年 / 41卷 / 03期

关键词：

wound vac; negative pressure wound therapy; healing; foot; ankle; VACUUM-ASSISTED CLOSURE; SURGICAL SITE INFECTION; BACTERIAL LOAD; LIMB SALVAGE; EXPRESSION; ULCERS; RECONSTRUCTION; MANAGEMENT; FLAPS;

D O I：

10.1177/1071100719892962

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Negative Pressure Wound Therapy (NPWT) is frequently utilized to manage complex wounds, however its mechanisms of healing remain poorly understood. Changes in growth factor expression, micro- and macro-deformation, blood flow, exudate removal, and bacterial concentration within the wound bed are thought to play a role. NPWT is gaining widespread usage in foot and ankle surgery, including the management of traumatic wounds; diabetic and neuropathic ulcers; wounds left open after debridement for infection or dehiscence; high-risk, closed incisions; tissue grafts and free flaps. This article reviews the rationale for NPWT, its proposed mechanisms of action, and the evidence regarding its clinical applications within the field of foot and ankle surgery.

引用

页码：364 / 372

页数：9

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