Negative Pressure Wound Therapy With Instillation: An Adjunctive Therapy for Infection Management in Orthopaedic Trauma.

Negative Pressure Wound Therapy with Instillation is a device that provides the benefits of standard negative pressure wound therapy and instillation of a topical wound solution. This combination can benefit acute and chronic wounds by continuously cleansing the wound and providing soft tissue stability between staged operations or in preparation for a single procedure. Although skeletal stability is important in orthopaedic trauma, the overlying soft tissue envelop may also be compromised, which can lead to contamination and infection. This review will discuss the growing body of evidence for the use of negative pressure wound therapy with instillation with a focus on infection and recommendations for its proper use.