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08-27-2012, 09:49 AM
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IED Injury To Right Leg
This soldier was injured when he stood on a pressure plate improvised explosive device (IED) in Afghanistan. On arrival in Birmingham, he required emergency above-the-knee amputation of his right leg. Radical debridement left a healthy wound bed, but it was a difficult wound to dress. We did not feel that conventional dressings would have been suitable for this patient. The use of a gauze-based NPWT system allowed for optimal wound healing, exudate management, and a secure dressing that was not able to slip off. Wound healing was completed with the use of skin grafts, and the soldier now walks with a prosthesis. 1. Pressure plate improvised explosive device injury ![]() 2. Site of wound after debridement, application of negative pressure wound therapy, and skin grafting |