Closed Incision Negative Pressure Wound Therapy in the Management of a Complex Fasciotomy Wound in a Pediatric Patient

Gordon Lee; Patrick C Murray; Ian G Hasegawa

doi:10.7759/cureus.7413

Closed Incision Negative Pressure Wound Therapy in the Management of a Complex Fasciotomy Wound in a Pediatric Patient

Cureus. 2020 Mar 25;12(3):e7413. doi: 10.7759/cureus.7413.

Authors

Gordon Lee¹, Patrick C Murray², Ian G Hasegawa^{3

4}

Affiliations

¹ Orthopedics, John A. Burns School of Medicine, Honolulu, USA.
² Orthopedic Surgery, University of Hawaii, Honolulu, USA.
³ Orthopedic Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, USA.
⁴ Orthopedic Surgery, Queen's Medical Center, Honolulu, USA.

Abstract

Acute compartment syndrome (ACS) is a known entity that most often occurs in the setting of trauma in both adult and pediatric patients. Fasciotomy remains the gold standard treatment for relieving intracompartmental pressures but is associated with significant complications. Significant variability exists regarding fasciotomy wound management and closure. We present the only known case report on use of circumferentially applied negative pressure wound therapy instill and dwell (NPWTi-d) followed by circumferentially applied closed incision negative pressure wound therapy (ciNPWT) for the soft tissue management of delayed ACS in a pediatric patient.

Keywords: compartment; fasciotomies; forearm; fracture; negative pressure wound therapy; pediatric; syndrome; wound vac.

Publication types

Case Reports