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CASE REPORT
Year : 2021  |  Volume : 54  |  Issue : 6  |  Page : 234-237

Use of negative pressure wound therapy with simultaneous instillation for treatment of Gustilo type IIIC tibia-fibula fracture during COVID-19 pandemic


1 Division of Plastic and Reconstructive Surgery, Department of Surgery, Taipei Veterans General Hospital; Institute of Clinical Medicine, National Yang-Ming Chiao-Tung University, Taipei, Taiwan
2 Department of Orthopedics, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan; Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan
3 Department of Surgery, Kinmen Hospital, Ministry of Health and Welfare, Kinmen, Taiwan
4 Department of Orthopedics, Kinmen Hospital, Ministry of Health and Welfare, Kinmen, Taiwan

Correspondence Address:
Chin-Jung Lin
Department of Orthopedics, Kinmen Hospital, Ministry of Health and Welfare, No. 2, Fuxing Rd., Jinhu Township, Kinmen County 891
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/fjs.fjs_96_21

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Since the coronavirus disease (COVID-19) outbreak at the end of 2019, there have been changes in human habits, customs, and patient management. Conventional wound treatments may not be performed in certain cases due to the risk of COVID-19 transmission, and alternative methods should be thus considered. Negative pressure wound therapy (NPWT) is a well-established and widely applied dressing alternative for acute and chronic wounds. Meanwhile, the continuous irrigation associated with simultaneous instillation (NPWTi) is thought to achieve better cleansing and lower infection rates. Although NPWTi is still controversial with regard to flap reconstruction, this report presents a successful management of Gustilo type IIIC tibia-fibula open fracture using NPWTi as a bridge dressing to endure the 14-day quarantine period in a district hospital with insufficient medical staff and resources.


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