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Timing of wound closure after open lower extremity (LE) fractures remains a controversial topic. Studies suggest that delayed soft tissue coverage after 7 days has been associated with higher rates of infection. However, in the critically unstable polytrauma patient, providing definitive soft tissue coverage within such a time frame may not be an option. William A. Marmor (@WillMarmor) and his co-authors at Stony Brook University’s Division of Plastic and Reconstructive Surgery examined whether the initial use of negative pressure wound therapy (NPWT) enabled extended time to definitive closure of LE open fractures without an increase in rates of complication. He and his co-authors found that when compared to wounds treated with standard dressings, those treated with NPWT had extended time to definitive closure, with more debridements and related procedures, without an increase in complication rate. Does Negative Pressure Wound Therapy as First-Choice Dressing Enable Greater Time To Definitive Wound Coverage In Open Lower Extremity Open Fractures? An Analysis of Over 190 Gustilo Grade Injuries William A. Marmor, BS, Jocellie E. Marquez, MD MBA, Lee Hakami, MD, David J. Howard, BS, Zachary I. Warheit, BS, Kanad Ghosh, BA, Omer Kaymakcalan, MD, Gurtej Singh, PhD, Duc Bui, MD. Division of Plastic and Reconstructive Surgery, Stony Brook University

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