Full Thickness Burns over Bilateral Patella Tendons - Adjunctive Hyperbaric Oxygen Therapy and Negative Pressure Wound Therapy for Wound Bed Preparation and Improved Graft Take.

摘要

Coverage of poorly vascularised diabetic wounds is an important rising surgical challenge. Failure leads to amputations and increased morbidity. Worldwide, a limb is lost to diabetes every 30 seconds. Diabetic prevalence in Singapore is 8.2% with 13.9% having vasculopathy, 28.8% stage 2 King’s Classifi cation and 700 diabetic amputations every year. We highlight how synergistic HBOT (Hyperbaric Oxygen Therapy) and NPWT (Negative Pressure Wound Therapy) can optimise wound beds in an important unique case of diabetic bilateral patellar infected with full thickness burns.