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USE OF NEW MATERIALS IN THE TREATMENT OF CHRONIC POST-TRAUMATIC WOUNDS
MARIN MARINOVIĆ
; Rijeka University Hospital Center, Clinical Department of Surgery, Rijeka, Croatia
JOSIP ŠPANJOL
; Rijeka University Hospital Center, Department of Urology, Rijeka, Croatia
NERA FUMIĆ
; Rijeka University Hospital Center, Clinical Department of Surgery, Rijeka, Croatia
BORE BAKOTA
; Karlovac General Hospital, Department of Traumatology, Karlovac, Croatia
MAJA PIN
; University of Rijeka School of Medicine, Rijeka, Croatia
FABIJAN ČUKELJ
; Split University Hospital Center, Clinical Department of Surgery, Split, Croatia
Abstract
Postoperative infection and the presence of osteosynthetic material in human body pose a major problem for patients and operators. Previously, it was considered that osteosynthetic material must be removed, and only then the expected full infection recovery could occur. However, removal of osteosynthetic material in unhealed fractures complicates bone fracture healing, as well as infection recovery. Nowadays, it is indicated to place an external bone fixator and in case of soft tissue recovery access to reosteosynthesis. The negative pressure wound therapy has brought new opportunities for treatment of this type of infections without the need of osteosynthetic material removal. Direct and indirect effects of negative pressure wound therapy create optimal healing conditions. Local use of new materials, transforming powder (Altrazeal R) and topical hemoglobin spray (GranuloxR), provide and improve physiological conditions for appropriate and safe healing.
Keywords
wound infections; osteosynthetic material; negative wound pressure therapy; transforming powder; topical hemoglobin
Hrčak ID:
128725
URI
Publication date:
6.10.2014.
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