Team Approach: Complex Dermal Wound-Healing Utilizing Negative-Pressure Wound Therapy (NPWT) in Orthopaedic Trauma

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Repairing skin and soft-tissue loss after severe trauma remains a daunting task because of the complications that arise throughout treatment. Negative-pressure wound therapy (NPWT) has proven to be a useful tool for reducing these complications by facilitating the repair of damaged soft tissue in a variety of scenarios and settings.The success of NPWT depends on negative pressure, controlling local edema, the removal of inflammatory mediators, revascularization and granulation, and reducing the wound-bed bioburden.NPWT is a reasonable treatment modality when used appropriately according to recommended indications.NPWT creates an environment that can help to accelerate healing after devastating soft-tissue loss.With a high reported rate of success, NPWT can be used in a variety of settings.NPWT has proven to be useful in conjunction with flaps and grafts to further aid the practitioner in repairing damaged tissue.NPWT has the potential of eliminating additional surgical procedures and lengthy hospital stays, thus reducing unnecessary costs.

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