Negative Pressure Wound Therapy Assisted Granulation and Grafting Over Exposed Bone and Tendon
Summary: Case report demonstrates NPWT’s role in promoting granulation over exposed bone/tendon in complex wounds (e.g., trauma, debridement defects). NPWT (continuous/intermittent) draws fluid, reduces edema, stimulates angiogenesis/fibroblast activity, fills defects with granulation tissue despite avascular structures. Followed by split-thickness skin grafting on NPWT-prepared bed; outcomes: Successful take, closure, no further exposure complications. Emphasizes protocol (foam bridging, protective layers, infection control) and benefits (downstages reconstruction, limb salvage). Relevant for hard-to-heal wounds with exposed structures; supports NPWT as adjunct in advanced care.
Keywords: NPWT exposed bone, granulation promotion, skin grafting