Webb Lawrence X
Department of Orthopaedic Trauma, Medical Center Navicent Health, 840 Pine Street, Macon, GA 31201, USA; Department of Surgery, Mercer University School of Medicine, 1400 Coleman Avenue, Macon, GA 31217, USA; Department of Orthopaedic Surgery, Medical Center, Wake Forest University, Medical Center Boulevard, Winston-Salem, NC 27157, USA.
Orthop Clin North Am. 2017 Apr;48(2):167-179. doi: 10.1016/j.ocl.2016.12.004.
By hastening the resolution of edema and improving local microcirculation, topical negative pressure wound therapy (TNP) aids the establishment of early wound coverage. Its use in the setting of type III open fractures is reviewed. The author's initial use of TNP for closed surgical incisions and how it morphed its way into being applied to closed surgical wounds with heightened likelihood for infection is presented. Several case studies are presented to illustrate the role and the technique for management of acute or subacute infections involving bone and implant.
通过加速水肿消退和改善局部微循环，局部负压伤口治疗（TNP）有助于早期伤口覆盖的建立。本文回顾了其在Ⅲ型开放性骨折中的应用。介绍了作者最初将TNP用于闭合手术切口，以及它如何演变为应用于感染可能性增加的闭合手术伤口。文中呈现了几个病例研究，以说明TNP在涉及骨骼和植入物的急性或亚急性感染管理中的作用和技术。
