Negative Pressure Wound Therapy Journal https://www.npwtj.com/index.php/npwtj <p>Diamond Open Access, peer-reviewed academic journal focused on the use of vacuum therapy.&nbsp;</p> <p>&nbsp;</p> en-US <p>&nbsp;Authors who publish with this journal agree to the following terms:</p> <ol> <li class="show">Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a <a href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License </a>that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</li> <li class="show">Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.</li> <li class="show">Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See <a href="http://opcit.eprints.org/oacitation-biblio.html" target="_new">The Effect of Open Access</a>).</li> </ol> <p>We require authors to sign a Publication Agreement prior to publication of the manuscript in NPWTJ. The link to this form may be found below.&nbsp;<br><a title="Publication Agreement" href="http://npwtj.shinyapps.io/Form">PUBLICATION AGREEMENT FORM</a>&nbsp;<br><br></p> npwtj@medigent.org (Wojciech Francuzik) piotr.piatek@medigent.org (Piotr Piątek) Tue, 17 Aug 2021 14:52:20 +0200 OJS 3.1.2.4 http://blogs.law.harvard.edu/tech/rss 60 Management of distal radius fractures using closed-incision negative pressure wound therapy. Retrospective study. https://www.npwtj.com/index.php/npwtj/article/view/64 <p>Abstract— Background: Negative pressure wound therapy<br>has proven to be an ecient tool in the provision of temporary<br>wound coverage in cases where definitive primary wound<br>coverage is impossible. This initial achievement led to the use<br>of NPWT as an incisional dressing in wounds that could be<br>primarily closed, but posing high risk due to the amount of<br>soft-tissue injury, location of the fracture, or high BMI.<br>Distal radius fracture is one of the most common injuries,<br>especially in elderly patients. Typically, fractures occur in the<br>osteoporotic bone as a result of low-energy trauma. Conservative<br>treatment is still dominant in the management of distal<br>radius fractures. In general, displaced unstable fractures or<br>fractures that fail conservative treatment are indicated for<br>surgical therapy. In our study, we present ten-year-experience<br>of distal radius fracture management at our department.<br>Methods: Detailed analysis of retrospective data obtained<br>from the hospital information system was carried out. The<br>study included patients operated on at our department from<br>January 1, 2010, to December 31, 2019. We evaluated age,<br>gender, surgical approach, complications, and implant removal.<br>Results: in total, 207 patients were evaluated, women to<br>men ratio was 2:1 (144:63 cases). The mean age was 56 years<br>(women 62 years, men 45 years). Volar surgical approach with<br>volar locking plate osteosynthesis predominated (199 cases). The<br>complication rate was 10% with implant-associated complications<br>being the most common (3.7%). The implant removal rate<br>was 17%. No surgical site infection (SSI) was detected. Closed<br>incision negative pressure therapy (ciNPT) was applied in highrisk<br>wounds.<br>Conclusion: Volar locking plate osteosynthesis is a method<br>of choice with a low complication rate. Implant removal is not<br>routinely indicated. Preventive application of ciNPT is beneficial<br>in high-risk wounds, but diagnosis of fracture of the distal<br>forearm according to the occurrence in our analysis is not<br>essential for preventive use of NPWT, since the incidence of<br>wound infection, in high-risk patients, is extremely low.</p> Jakub Habr, Michal Reška, Jan Konečný, Michal Kašpar, Roman Hasara, Lenka Veverková Copyright (c) 2021 Jakub Habr, Michal Reška, Jan Konečný, Michal Kašpar, Roman Hasara, Lenka Veverková http://creativecommons.org/licenses/by/4.0 https://www.npwtj.com/index.php/npwtj/article/view/64 Tue, 17 Aug 2021 14:40:30 +0200