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A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries
In this study, we compared outcomes in patients with acute hand injury, who were managed with or without negative pressure wound therapy (NPWT) after reconstructive surgery. All of the patients who sustained acute and multitissue injuries of the hand were identified. After reconstructive surgery, a...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892250/ https://www.ncbi.nlm.nih.gov/pubmed/29780821 http://dx.doi.org/10.1155/2018/3629643 |
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author | Shim, Hyung Sup Choi, Ji Seon Kim, Sang Wha |
author_facet | Shim, Hyung Sup Choi, Ji Seon Kim, Sang Wha |
author_sort | Shim, Hyung Sup |
collection | PubMed |
description | In this study, we compared outcomes in patients with acute hand injury, who were managed with or without negative pressure wound therapy (NPWT) after reconstructive surgery. All of the patients who sustained acute and multitissue injuries of the hand were identified. After reconstructive surgery, a conventional dressing was applied in Group 1 and NPWT was applied in Group 2. The dressing and NPWT were changed every 3 days. The mean age and Hand Injury Severity Scoring System score of both groups were not significantly different. Disabilities of the Arm, Shoulder, and Hand (DASH) scores were evaluated 1 month after all the sutures were removed and 1 year postoperatively, which were both significantly lower in Group 2. Applying NPWT to the hand promoted wound healing by reducing edema, stabilizing the wound, and providing immobilization in a functional position. Early wound healing and decreased complications enabled early rehabilitation, which led to successful functional recovery, both objectively and subjectively. |
format | Online Article Text |
id | pubmed-5892250 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-58922502018-05-20 A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries Shim, Hyung Sup Choi, Ji Seon Kim, Sang Wha Biomed Res Int Clinical Study In this study, we compared outcomes in patients with acute hand injury, who were managed with or without negative pressure wound therapy (NPWT) after reconstructive surgery. All of the patients who sustained acute and multitissue injuries of the hand were identified. After reconstructive surgery, a conventional dressing was applied in Group 1 and NPWT was applied in Group 2. The dressing and NPWT were changed every 3 days. The mean age and Hand Injury Severity Scoring System score of both groups were not significantly different. Disabilities of the Arm, Shoulder, and Hand (DASH) scores were evaluated 1 month after all the sutures were removed and 1 year postoperatively, which were both significantly lower in Group 2. Applying NPWT to the hand promoted wound healing by reducing edema, stabilizing the wound, and providing immobilization in a functional position. Early wound healing and decreased complications enabled early rehabilitation, which led to successful functional recovery, both objectively and subjectively. Hindawi 2018-03-26 /pmc/articles/PMC5892250/ /pubmed/29780821 http://dx.doi.org/10.1155/2018/3629643 Text en Copyright © 2018 Hyung Sup Shim et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Shim, Hyung Sup Choi, Ji Seon Kim, Sang Wha A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries |
title | A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries |
title_full | A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries |
title_fullStr | A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries |
title_full_unstemmed | A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries |
title_short | A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries |
title_sort | role for postoperative negative pressure wound therapy in multitissue hand injuries |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892250/ https://www.ncbi.nlm.nih.gov/pubmed/29780821 http://dx.doi.org/10.1155/2018/3629643 |
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