RESUMO
Foot injuries caused by firearms and high pressure washing machines are not common, but due to high energy can be very destructive and contaminated with microorganisms. Due to the anatomical specificity of the foot, injures of the specific structure such as blood vessels, nerves and tendon-ligament apparatus are frequent. Soft tissue defect is often present. Functional and aesthetic recovery of the foot is a challenge for the surgeon. Direct and indirect effect of the negative pressure therapy helps in wound healing and provides good preparation for definitive surgical management of wounds.
Assuntos
Traumatismos do Pé/cirurgia , Tratamento de Ferimentos com Pressão Negativa/métodos , Cicatrização , Infecção dos Ferimentos/cirurgia , Traumatismos do Pé/complicações , Humanos , Masculino , Lesões dos Tecidos Moles/cirurgia , Resultado do Tratamento , Infecção dos Ferimentos/etiologia , Infecção dos Ferimentos/prevenção & controle , Ferimentos por Arma de Fogo/cirurgiaRESUMO
Fractures of the proximal femur are specific to older adults. Today, life expectancy for men and women is increasing, so one can expect an increased number of hip fractures. Elderly people suffer from associated diseases that may compromise the biological potential in healing of surgical wounds. On the other hand, there is an increased number of microorganisms resistant to antimicrobial drugs, so an increased number of postoperative infections can be expected. With conventional treatment methods of postoperative infections where the osteo-synthetic material is present in tissue, negative pressure therapy is gradually taking an increasingly important role in the treatment of these conditions. Because of its simple application in hospital or outpatient setting and good comfort with no pain for the patient, negative pressure therapy contributes significantly to healing of the wounds without removing osteosynthetic material from the wound.