Authors: (including presenting author): :
Hung P Y (1), Li L C (1)
Affiliation: :
(1) Orthopaedic and Traumatology, Princess Margaret Hospital
Keyword 1: :
Negative pressure wound therapy
Introduction: :
Skin grafting is a common procedure in orthopaedics for managing complex wounds. In our department, various dressing methods and materials are currently used for post-skin graft wounds based on personal preference. However, research consistently shows that Negative Pressure Wound Therapy (NPWT) can improve skin graft take rates. Despite this evidence, the use of NPWT in clinical practice may not be effectively translated. Therefore, we conducted this evidence-based practice (EBP) project to evaluate the efficacy of NPWT in improving skin graft outcomes in orthopaedic patients.
Objectives: :
The objective of this EBP project was to evaluate the available evidence on the use of NPWT for improving skin graft take rates in orthopaedic patients.
Methodology: :
A comprehensive literature review was conducted to synthesize the available evidence on NPWT for skin grafts. Based on the strong evidence, our department implemented NPWT as adjunctive therapy for skin grafting procedures. For implementation, we communicated goals clearly, engaged the team for feedback, ensure easy access to NPWT resources, and regularly reviewed our progress.
Result & Outcome: :
6 high-level studies were identified demonstrating the beneficial effects of NPWT on skin graft take rates in orthopaedic patients. The program initiated in November 2024 included five cases for analysis (as at Jan 2025). Results indicated that NPWT significantly improved skin graft uptake, while wounds not treated with NPWT exhibited complications. These findings suggest that NPWT may enhance outcomes in post-skin graft wound management.
