Background: Fasciotomy is essential for the prevention and management of compartment syndrome on limbs. The traditional method is to wet to dry dressing to the wide laid open wound to well prepare the wound bed for closure. Most fasciotomy wounds will require delayed primary closure and there may require number of surgeries.
Patients and method:
Applied Evidence Base Practice(EBP) by using Negative Pressure Wound Therapy(NPWT) to the patients who suffered compartment syndrome with fasciotomy among five Orthopaedics and Traumatology units in Hong Kong hospital
Duration:
May,2018 to Jan,2019
Results:
The usage of NPWT is increasing by 4% to 37%(n=7). The mean of wound closure times(day) of NPWT group is 7.8 days more than non-NPWT group. But in the lower limbs fasciotomy wound group, the mean of wound closure times in NPWT group is 3.42 days lesser than non-NPWT group.
Conclusion:
Usage of NPWT is more common in managing fasciotomy wound not only target on fasten the wound closure time but also benefit on swelling control, promote granulation, control colonization and cosmetic appearance, etc. NPWT is tend to apply on lower limbs with larger compartment wound resulted in effective wound bed preparation for closure.
Co-location with:
