Multicenter prospective RCT across four Level I trauma centers investigating whether incisional NPWT applied directly over closed surgical incisions — as a prophylactic measure, not a treatment — reduces wound complications in blunt trauma patients undergoing ORIF for tibial plateau, pilon, or calcaneus fractures.
When closing an ORIF for a tibial plateau, pilon, or calcaneus fracture after high-energy trauma, consider applying incisional NPWT at 125 mmHg continuous directly over the closed wound — just 2–3 days of therapy was associated with a nearly 50% relative reduction in infection and a significant decrease in dehiscence compared to standard dressings.
Multicenter prospective RCT across four Level I trauma centers investigating whether incisional NPWT applied directly over closed surgical incisions — as a prophylactic measure, not a treatment — reduces wound complications in blunt trauma patients undergoing ORIF for tibial plateau, pilon, or calcaneus fractures.
When closing an ORIF for a tibial plateau, pilon, or calcaneus fracture after high-energy trauma, consider applying incisional NPWT at 125 mmHg continuous directly over the closed wound — just 2–3 days of therapy was associated with a nearly 50% relative reduction in infection and a significant decrease in dehiscence compared to standard dressings.