Early soft tissue coverage and negative pressure wound therapy optimises patient outcomes in lower limb trauma

Liu DSH, Sofiadellis F, Ashton M, et al (The Royal Melbourne Hosp, Parkville, Victoria, Australia) Injury 43:772-778, 2012^§

Abstract

Background

The timing of soft tissue reconstruction for severe open lower limb trauma is critical to its successful outcome, particularly in the setting of exposed metalware and pre-existing wound infection. The use of negative pressure wound therapy (NPWT) may allow a delay in soft tissue coverage without adverse effects. This study evaluated the impact of delayed free-flap reconstruction, prolonged metalware exposure, pre-flap wound infection, and the efficacy of NPWT on the success of soft tissue coverage after open lower limb injury.

Methods

Retrospective review of all free-flap reconstructions for lower limb trauma undertaken at a tertiary trauma centre between June 2002 and July 2009.

Results

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