The Foot
Volume 19, Issue 3 , Pages 177-180, September 2009

Management of a complex hind foot war injury with negative pressure wound therapy: A case study

  • T.J. Bonner

      Affiliations

    • Department of Trauma and Orthopaedics, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, United Kingdom
    • Corresponding Author InformationCorresponding author at: 6 Faraday Court, Durham DH1 4FG, United Kingdom. Tel.: +44 191 3839401.
    • ,
  • A. Mountain

      Affiliations

    • Department of Trauma and Orthopaedics, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, United Kingdom
    • ,
  • K. Allison

      Affiliations

    • Department of Plastic Surgery, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, United Kingdom
    • ,
  • I. Sargent

      Affiliations

    • The Royal Centre for Defence Medicine, Selly Oak Hospital, Birmingham B29 6JD, United Kingdom
    • ,
  • S. Adedapo

      Affiliations

    • Department of Trauma and Orthopaedics, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, United Kingdom

Received 7 November 2008; accepted 11 December 2008.

Abstract 

We report the use of Negative Pressure Wound Therapy (NPWT) in a 39 year old patient with a complex open hind foot injury. The patient sustained an open calcaneal fracture with extensive soft tissue damage following the detonation of an explosively formed penetrating round in a confined space. A remarkable recovery was made following surgical debridement, internal fixation of the fracture and use of NPWT over the soft tissue injury. The patient returned to his normal level of function, without complications within a few months.

Keywords: Negative pressure wound therapy, Topical negative pressure therapy, Vacuum assisted closure, Calcaneum, Fracture

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PII: S0958-2592(08)00122-3

doi:10.1016/j.foot.2008.12.003

The Foot
Volume 19, Issue 3 , Pages 177-180, September 2009

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