TY - JOUR
T1 - Use of Negative Pressure Wound Therapy in the Treatment of Limb Wounds
T2 - A Case Series of 42 Horses
AU - Launois, Thomas
AU - Moor, Pierre Louis
AU - Berthier, Amélie
AU - Merlin, Nathalie
AU - Rieu, François
AU - Schlotterer, Christophe
AU - Siegel, Anthony
AU - Fruit, Garance
AU - Dugdale, Alexandra
AU - Vandeweerd, Jean Michel
N1 - Funding Information:
Conflicts of Interest Stetment: None of the authors has any financial or personal relationships that could inappropriately influence or bias the content of the paper.
Publisher Copyright:
© 2021
PY - 2021/11
Y1 - 2021/11
N2 - Traumatic limb injuries are common in horses. Negative pressure wound therapy (NPWT) has been proven to promote wound healing in human medicine. It has also been described for the treatment of wounds in horses. In this retrospective study, clinical records of 42 (n = 42) animals were assessed. Categories of wounds, duration of NPWT application, frequency of resetting the NPWT device, technical complications, and tolerance to the procedure were recorded. 42 wounds were classified as bony (n = 15; 36 %), articular (n = 14; 33 %), tenosynovial (n = 9; 21%), muscular (n = 2; 5%) and cutaneous (n = 2; 5 %). NPWT was used to help (1) first intention healing by preoperative (n = 3; 7 %) or postoperative (n = 7; 17%) application, (2) second intention healing (n = 31; 74%), and (3) delayed primary closure (n = 1; 2%). Duration of NPWT application ranged from 2 to 36 days (mean 11.5), with the system staying in place for periods ranging from 1 to 7 days (mean 4.5). In 69% (n = 29) of the cases, healing was considered satisfactory at discharge. 26 % (n = 11) of horses were discharged whilst ideally NPWT should have been continued. 2 animals (n = 2; 5%) were euthanized after surgery due to unrelenting pain. The procedure was well tolerated except in 1 horse who showed signs of discomfort at the first application. This study demonstrated that NPWT with long periods of application can be used successfully to manage various types of limb wounds.
AB - Traumatic limb injuries are common in horses. Negative pressure wound therapy (NPWT) has been proven to promote wound healing in human medicine. It has also been described for the treatment of wounds in horses. In this retrospective study, clinical records of 42 (n = 42) animals were assessed. Categories of wounds, duration of NPWT application, frequency of resetting the NPWT device, technical complications, and tolerance to the procedure were recorded. 42 wounds were classified as bony (n = 15; 36 %), articular (n = 14; 33 %), tenosynovial (n = 9; 21%), muscular (n = 2; 5%) and cutaneous (n = 2; 5 %). NPWT was used to help (1) first intention healing by preoperative (n = 3; 7 %) or postoperative (n = 7; 17%) application, (2) second intention healing (n = 31; 74%), and (3) delayed primary closure (n = 1; 2%). Duration of NPWT application ranged from 2 to 36 days (mean 11.5), with the system staying in place for periods ranging from 1 to 7 days (mean 4.5). In 69% (n = 29) of the cases, healing was considered satisfactory at discharge. 26 % (n = 11) of horses were discharged whilst ideally NPWT should have been continued. 2 animals (n = 2; 5%) were euthanized after surgery due to unrelenting pain. The procedure was well tolerated except in 1 horse who showed signs of discomfort at the first application. This study demonstrated that NPWT with long periods of application can be used successfully to manage various types of limb wounds.
KW - Negative pressure wound therapy
KW - VAC therapy system
KW - Vacuum-assisted closure
KW - Wound care
UR - http://www.scopus.com/inward/record.url?scp=85114016198&partnerID=8YFLogxK
U2 - 10.1016/j.jevs.2021.103725
DO - 10.1016/j.jevs.2021.103725
M3 - Article
C2 - 34670699
AN - SCOPUS:85114016198
SN - 0737-0806
VL - 106
JO - Journal of Equine Veterinary Science
JF - Journal of Equine Veterinary Science
M1 - 103725
ER -
