PURPOSE Open fractures are considered orthopedic emergencies that are traditionally treated with surgical debridement within 6 h of injury to prevent infection. However, this proclaimed "6-h rule" is arbitrary and not based on rigorous scientific evidence. The aim of our study was to systematically review the literature that compares late (>6 h from the time of injury) to early (<6 h from the t...

In 2010 Peninsula Health was one of four Victorian health services provided with a Department of Health New Technology Grant worth $100, 000. The grant funded the implementation and evaluation of the use of Low Frequency Ultrasonic Debridement (LFUD) in wound healing. The LFUD device, Sonoca, has been developed for use on diabetic foot ulcers, pressure ulcers, venous leg ulcers and dehisced wou...

Debridement is a crucial component of wound management. Traditionally, several types of wound debridement techniques have been used in clinical practice such as autolytic, enzymatic, biodebridement, mechanical, conservative sharp and surgical. Various factors determine the method of choice for debridement for a particular wound such as suitability to the patient, the type of wound, its anatomic...

A retrospective survey for debridement with or without wafer distal ulna resection was performed. Forty six patients responded to a questionnaire on pain, disability and time off work. The mean DASH score decreased from 42 to 28 on average. Thirty two patients were satisfied. The pain was considered severe in 12 patients. There were significant differences in the outcome between debridement onl...

Maggot debridement is the deliberate use of larvae known to consume only necrotic tissue. A retrospective quality improvement analysis of maggot debridement therapy (MDT) was conducted among patients with devitalized tissue or gangrene attending a Canadian foot and leg ulcer clinic who received MDT between January 2001 and June 2006. MDT was applied every 48 hours until >90% of necrotic tissue ...

background: maggot therapy has recently attracted considerable attention as an emerging debridement technique for wound healing. this study aimed to review the safety, effectiveness and economic evaluations of maggot debridement therapy for wound healing.   methods: to retrieve the relevant evidences, the cochrane library (until september 2014) was searched by appropriate keywords, using free t...