Negative Pressure Wound Therapy saved a limb from amputation: A case report
Large soft tissue defects resulting from high-energy trauma, such as traffic accidents, present significant challenges in wound management due to the high risk of infection, delayed healing, and functional impairment. Negative Pressure Wound Therapy (NPWT) has emerged as a valuable treatment modalit...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Journal of Orthopaedic Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X24002297 |
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| author | Dwi Purnomo Setyo Budi Mochamad Sadabaskara Bontor Daniel Sinaga Filberto Budhy |
| author_facet | Dwi Purnomo Setyo Budi Mochamad Sadabaskara Bontor Daniel Sinaga Filberto Budhy |
| author_sort | Dwi Purnomo Setyo Budi |
| collection | DOAJ |
| description | Large soft tissue defects resulting from high-energy trauma, such as traffic accidents, present significant challenges in wound management due to the high risk of infection, delayed healing, and functional impairment. Negative Pressure Wound Therapy (NPWT) has emerged as a valuable treatment modality for promoting wound healing in complex cases. By applying uniform subatmospheric pressure to the wound bed, NPWT aids granulation tissue formation, removes excess fluids, reduces bacterial colonization, and stabilizes the wound environment. This report presents a case of a 21-year-old male with a large soft tissue defect extending from the femur to the left foot, complicated by necrosis, gangrene and purulent exudate. The use of NPWT for approximately 2.5 months, facilitated rapid granulation and infection control, leading to successful skin grafting. The case highlights the efficacy of NPWT in managing large, infected wounds, improving outcomes, and reducing complications associated with extensive tissue loss. Early NPWT initiation, combined with surgical debridement and skin grafting, proves to be an effective approach in trauma-induced soft tissue defects. |
| format | Article |
| id | doaj-art-1656ee83ecc24af2a2b0c20e037a02ab |
| institution | OA Journals |
| issn | 2773-157X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj-art-1656ee83ecc24af2a2b0c20e037a02ab2025-08-20T02:07:23ZengElsevierJournal of Orthopaedic Reports2773-157X2025-04-014110053410.1016/j.jorep.2024.100534Negative Pressure Wound Therapy saved a limb from amputation: A case reportDwi Purnomo Setyo Budi0Mochamad Sadabaskara1Bontor Daniel Sinaga2Filberto Budhy3Department of Orthopaedic and Traumatology, MRCCC Siloam Hospitals, Jakarta, IndonesiaDepartment of Orthopaedic and Traumatology, MRCCC Siloam Hospitals, Jakarta, IndonesiaFaculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia; Corresponding author. dr. Wahidin Sudirohusodo street number 5-25, Yogyakarta, Indonesia.Department of Orthopaedic and Traumatology, Dr.Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaLarge soft tissue defects resulting from high-energy trauma, such as traffic accidents, present significant challenges in wound management due to the high risk of infection, delayed healing, and functional impairment. Negative Pressure Wound Therapy (NPWT) has emerged as a valuable treatment modality for promoting wound healing in complex cases. By applying uniform subatmospheric pressure to the wound bed, NPWT aids granulation tissue formation, removes excess fluids, reduces bacterial colonization, and stabilizes the wound environment. This report presents a case of a 21-year-old male with a large soft tissue defect extending from the femur to the left foot, complicated by necrosis, gangrene and purulent exudate. The use of NPWT for approximately 2.5 months, facilitated rapid granulation and infection control, leading to successful skin grafting. The case highlights the efficacy of NPWT in managing large, infected wounds, improving outcomes, and reducing complications associated with extensive tissue loss. Early NPWT initiation, combined with surgical debridement and skin grafting, proves to be an effective approach in trauma-induced soft tissue defects.http://www.sciencedirect.com/science/article/pii/S2773157X24002297Level IV (Therapeutic) |
| spellingShingle | Dwi Purnomo Setyo Budi Mochamad Sadabaskara Bontor Daniel Sinaga Filberto Budhy Negative Pressure Wound Therapy saved a limb from amputation: A case report Journal of Orthopaedic Reports Level IV (Therapeutic) |
| title | Negative Pressure Wound Therapy saved a limb from amputation: A case report |
| title_full | Negative Pressure Wound Therapy saved a limb from amputation: A case report |
| title_fullStr | Negative Pressure Wound Therapy saved a limb from amputation: A case report |
| title_full_unstemmed | Negative Pressure Wound Therapy saved a limb from amputation: A case report |
| title_short | Negative Pressure Wound Therapy saved a limb from amputation: A case report |
| title_sort | negative pressure wound therapy saved a limb from amputation a case report |
| topic | Level IV (Therapeutic) |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X24002297 |
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