Combining Acoustic Pressure Wound Therapy With Electrical Stimulation for Treatment of Chronic Lower-Extremity Ulcers

2010 ◽  
Vol 23 (10) ◽  
pp. 446-449 ◽  
Author(s):  
Jeffrey Lasko ◽  
Joe Kochik ◽  
Thomas Serena
Keyword(s):  
Electrical Stimulation ◽  
Lower Extremity ◽  
Acoustic Pressure ◽  
Wound Therapy

scholarly journals Full circumference lower extremity degloving injury treated with hydrosurgical debridement and negative-pressure wound therapy with gauze wound filler for fixation of avulsed flap skin grafts

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Tae Nagama ◽  
Natsuko Kakudo ◽  
Atsuyuki Kuro ◽  
Yujiro Ozaki ◽  
Yasuko Shirasawa ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Traumatic Injury ◽  
Skin Grafts ◽  
Wound Therapy ◽  
Left Lower Extremity ◽  
Degloving Injury ◽  
Severe Traumatic Injury ◽  
Degloving Injuries

Abstract Degloving, a skin and subcutis avulsion, is a severe traumatic injury sometimes caused by rolling wheels or machines. Although avulsed flaps are often readapted to its original site, most of these tissues become necrotic. Due to the extensive skin and soft tissue deficiency caused by necrosis, treatment becomes difficult. Skin grafts harvested from avulsed flaps may be used to treat degloving injuries, while negative pressure wound therapy (NPWT) is used to secure the grafts. Commonly used porous polyurethane foam wound fillers are difficult to set in circumferential extremity degloving injuries; gauze-based wound fillers are easier to use and cause less pain during dressing changes. We present a case of an extensive, full-circumference left lower-extremity degloving injury, treated using NPWT with gauze-based wound fillers for fixation of skin grafts harvested from avulsed flaps after hydrosurgical debridement. For complex wound geometries, gauze-based wound fillers can be easily applied for skin graft immobilization.

External Thermoregulation of Wounds Associated with Lower-Extremity Osteomyelitis

2003 ◽  
Vol 93 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Jeffrey C. Karr
Keyword(s):  
Pilot Study ◽  
Lower Extremity ◽  
Ulcer Healing ◽  
Wound Closure ◽  
Wound Care ◽  
Surgical Excision ◽  
Wound Therapy ◽  
Healing Of Wounds ◽  
New Treatment ◽  
Case Presentations

External thermoregulation using noncontact normothermic wound therapy accelerates wound closure by second intention in areas of existing osteomyelitis before surgical excision compared with standard wound care. This pilot study consisted of two arms. The control arm received standard wound care, which resulted in complete ulcer healing at an average of 127 days. The treatment arm received noncontact normothermic wound therapy, which resulted in complete ulcer healing at an average of 59 days, or 54% faster than in the control arm. This new treatment allows the physician to decrease the rate of limb loss and recurrent osteomyelitis by decreasing the morbidity of bone reinfection through the wound bed. There have been no published studies or case presentations addressing thermoregulation in the management of wounds associated with osteomyelitis. Although noncontact normothermic wound therapy is not a direct treatment for osteomyelitis, this new treatment option results in significantly accelerated healing of wounds associated with osteomyelitis. (J Am Podiatr Med Assoc 93(1): 18-22, 2003)

Incisional Negative Pressure Wound Therapy After High-Risk Lower Extremity Fractures

2012 ◽  
Vol 26 (1) ◽  
pp. 37-42 ◽  
Author(s):  
James P Stannard ◽  
David A Volgas ◽  
Gerald McGwin ◽  
Rena L Stewart ◽  
William Obremskey ◽  
...  
Keyword(s):  
High Risk ◽  
Lower Extremity ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy
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