Jukema Gerrolt N, Timmers Michael S, Simmen Hans-Peter, Pape Hans-Christoph
1 Klinik für Traumatologie, Universitätsspital Zürich.
2 Department für Emergency Medicine, Medical Centre Zuiderzee, Lelystad, Netherlands.
Praxis (Bern 1994). 2018 Sep;107(19):1015-1020. doi: 10.1024/1661-8157/a003055.
Posttraumatic Osteomyelitis: Improvement in Outcome by Negative Pressure Wound Therapy with Instillation Technique Abstract. Surgical treatment of post-traumatic (fistula) osteomyelitis can be difficult and is associated with an increased risk of later recurrence. Very often osteomyelitis is accompanied by a soft tissue (defective) wound. After surgical debridement, the use of the vacuum sealing technique can stimulate wound healing and improve local blood circulation. In particular, the introduction of the innovative instillation technique for wound sponges can increase the effectiveness of the treatment of the infection. By regularly rinsing the sponges with an antiseptic polyhexanide solution, the duration of treatment, the number of operations, the in-patient stay and the recurrence rate in this patient group can be statistically significantly reduced.
