What are the evidence-based recommendations for the use of negative pressure wound therapy (NPWT) in open fractures and traumatic wounds?

Authors: Daniel R. Schlatterer, Martin McNally, Gerard Chang, James K.K. Chan

RECOMMENDATION: NPWT is an appropriate dressing in the short-term management (< 7 days) of complex traumatic wounds over open fractures, prior to definite soft tissue closure. NPWT is not superior to other sealed dressings and has increased initial cost.

LEVEL OF EVIDENCE: Moderate

DELEGATE VOTE: Agree: 86%, Disagree: 9%, Abstain: 5% (Super Majority, Strong Consensus)

Note: Please see Question 2 under Section 1.2. Prevention Risk Mitigation for additional rationale regarding NPWT.

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