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BioMed Research International
Volume 2018, Article ID 3629643, 7 pages
https://doi.org/10.1155/2018/3629643
Clinical Study

A Role for Postoperative Negative Pressure Wound Therapy in Multitissue Hand Injuries

1Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, St. Vincent’s Hospital, Seoul, Republic of Korea
2Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University Hospital, Seoul National University, Seoul, Republic of Korea

Correspondence should be addressed to Sang Wha Kim; rk.ca.uns@5121ws

Received 23 November 2017; Accepted 22 February 2018; Published 26 March 2018

Academic Editor: Liping Wang

Copyright © 2018 Hyung Sup Shim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In this study, we compared outcomes in patients with acute hand injury, who were managed with or without negative pressure wound therapy (NPWT) after reconstructive surgery. All of the patients who sustained acute and multitissue injuries of the hand were identified. After reconstructive surgery, a conventional dressing was applied in Group 1 and NPWT was applied in Group 2. The dressing and NPWT were changed every 3 days. The mean age and Hand Injury Severity Scoring System score of both groups were not significantly different. Disabilities of the Arm, Shoulder, and Hand (DASH) scores were evaluated 1 month after all the sutures were removed and 1 year postoperatively, which were both significantly lower in Group 2. Applying NPWT to the hand promoted wound healing by reducing edema, stabilizing the wound, and providing immobilization in a functional position. Early wound healing and decreased complications enabled early rehabilitation, which led to successful functional recovery, both objectively and subjectively.