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  • Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapyCommentary

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Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapy

https://doi.org/10.1136/ebn.11.4.116

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    P A Blume

    Dr P A Blume, North American Center for Limb Preservation, New Haven, CT, USA; peter.b@snet.net

    QUESTION

    Is negative pressure wound therapy (NPWT) using vacuum-assisted closure more effective than advanced moist wound therapy (AMWT) for diabetic foot ulcers?

    METHODS

    Design:

    randomised controlled trial.

    Allocation:

    concealed.

    Blinding:

    unblinded.

    Follow-up period:

    16 weeks (efficacy) and 26 weeks (safety).

    Setting:

    29 diabetic foot and wound clinics in the USA and Canada. Treatment occurred mainly at home (92% of treatment days).

    Patients:

    341 patients ⩾18 years of age (mean age 58 y, 79% men) with adequately controlled diabetes who had a stage 2 or 3 calcaneal, dorsal, or plantar foot ulcer ⩾2 cm2 in area after debridement and adequate lower extremity perfusion. Exclusion criteria included active Charcot disease, collagen vascular disease, ulcer …

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    Footnotes

    • Source of funding: KCI USA Inc.