Subscribe to RSS
DOI: 10.1055/s-2006-942332
© Georg Thieme Verlag Stuttgart · New York
Negative Pressure Wound Therapy and its Application to Orthopaedics. Part II: Clinical Application
Publication History
Publication Date:
30 January 2007 (online)

Abstract
Negative pressure wound therapy (NPWT) converts an open wound into a controlled closed environment by applying intermittent or continuous sub-atmospheric pressure to a specialized wound dressing. This is sealed with an adhesive dressing that contains the negative pressure at the wound and thereby stimulates healing. This technique has revolutionized the care of acute and chronic open wounds in orthopaedics. Normal wound healing and the current recommendations for the care of orthopaedic wounds using NPWT are reviewed.
Key words
wound VAC - NPWT - wound healing
References
- 1 Argenta L C, Morykwas M J. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997; 38 563-577
-
2 Blue Sky Medical . http://www.blueskymedical.com/Portals/0/LBL-00358-01-AA,%20Brochure,%20BlueSky%20Medical.pdf. 9/24/2006
- 3 Bonham P A. Surgical wound case studies with the Versatile 1 wound vacuum system for negative pressure wound therapy. J Wound Ostomy Continence Nurs. 2006; 33 185-190
-
4 Burdette-Taylor S R. Use of the Versatile One (V1) for closed suction drainage to stimulate closure in chronic wounds in home care. Poster supported by Blue Sky Medical of San Diego, CA and Genesis Medical of Indianapolis, IN
- 5 Campbell P E. Surgical wound case studies with the Versatile 1 wound vacuum system for negative pressure wound therapy. J Wound Ostomy Continence Nurs. 2006; 33 176-185
- 6 Fleischmann W, Strecker W, Bombelli M, Kinzl L. Vacuum sealing as treatment of soft tissue damage in open fractures. Unfallchirurg. 1993; 96 488-492 , [in German]
- 7 Hibbs P. The economics of pressure ulcer prevention. Decubitus. 1989; 2 32-38
-
8 KCI . http://www.kci1.com/82.asp “How VAC Therapy Works”. 6/14/2006
-
9 KCI Licensing Inc .“V.A.C.® Therapy Slides for Speaker Presentation”. Dec 29, 2005
-
10 KCI .“V.A.C.® Therapy™ Clinical Guidelines: A reference source for clinicians”. Jan 2005
- 11 Miller M S, McDaniel C. Treating wound dehiscence with an alternative system of delivering topical negative pressure. J Wound Care. 2006; 17 321-324
- 12 Morykwas M J, Argenta L C, Shelton-Brown E I, McGuirt W. Vacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation. Ann Plast Surg. 1997; 38 553-562
- 13 Saxena V, Hwang C, Huang S, Eichbaum Q, Inber D, Orgill D. Vacuum-assisted closure: microdeformations of wounds and cell proliferation. Plast Reconstr Surg. 2004; 114 1086-1096
-
14 Sinanan, MN . http://www.residentnet.com/bsframe.htm. 6/14/2006
- 15 Webb L X. New techniques in wound management: Vacuum-assisted wound closure. J Am Acad Orthop Surgeons. 2002; 10 303-311
-
16 Wikipedia . http://en.wikipedia.org/wiki/History_of_wound_care. 6/14/2006
- 17 Witte M B, Barbul A. General principles of wound healing. Surg Clin North America. 1997; 77 509-528
Nicole Arcand
Department of Orthopaedics · RI Hospital/Brown University School of Medicine
2 Dudley Street
Providence, RI 02905
USA
Phone: +1/4 01/8 29 17 50
Fax: +1/4 01/4 44 61 82
Email: narcand@yahoo.com