{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:10:01Z","timestamp":1745759401484,"version":"3.40.4"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,5,3]]},"abstract":"<jats:p>Chronic wounds on the dorsum of the hand are often challenging to treat. Vacuum-assisted closure has enjoyed widespread use in recent years for many difficult chronic wounds as an alternative to surgery. Unfortunately, owing to the unique anatomy of the hand, it is usually very difficult to get a seal without significantly immobilising the hand. We report a case of a chronic wound on the dorsum of the hand as a result of osteomyelitis in a 37-year-old man, which was treated with Single Use Negative Pressure Wound Therapy, \u2018PICO\u2019 (Smith and Nephew Co, UK). We combined the PICO dressing with a rubber glove to get a good seal enabling appropriate suction without immobilising the hand. Once the wound bed was ready, the defect was covered with a reverse forearm flap.<\/jats:p>","DOI":"10.1136\/bcr-2013-202780","type":"journal-article","created":{"date-parts":[[2014,6,2]],"date-time":"2014-06-02T13:01:24Z","timestamp":1401714084000},"page":"bcr2013202780","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Glove and PICO: a novel technique for treatment of chronic wound due to osteomyelitis of the hand"],"prefix":"10.1136","volume":"2014","author":[{"given":"Nitisha","family":"Narayan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daren","family":"Edwards","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raj H","family":"Ragoowansi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,6,2]]},"reference":[{"key":"2025042705335490000_2014.jun02_1.bcr2013202780.1","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/S0749-0712(21)00420-0","article-title":"Osteomyelitis of the hand","volume":"14","author":"Barbieri","year":"1998","journal-title":"Hand Clin"},{"key":"2025042705335490000_2014.jun02_1.bcr2013202780.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(03)00306-4"},{"key":"2025042705335490000_2014.jun02_1.bcr2013202780.3","first-page":"8","article-title":"Introducing a new portable negative pressure wound therapy (NPWT) system","volume":"8","author":"Timmons","year":"2012","journal-title":"Wounds UK"},{"key":"2025042705335490000_2014.jun02_1.bcr2013202780.4","first-page":"52","article-title":"A consensus report on the use of vacuum-assisted closure in chronic, difficult-to-heal wounds","volume":"49","author":"Sibbald","year":"2003","journal-title":"Ostomy Wound Manage"},{"key":"2025042705335490000_2014.jun02_1.bcr2013202780.5","unstructured":"Data on file reference 1104011 Assessment of simplified NPWT device in pre-clinical blood flow studies."},{"key":"2025042705335490000_2014.jun02_1.bcr2013202780.6","unstructured":"Data on file reference DS 11\/037\/R2 In-vitro wound model testing of PICO at a moderate exudate flow rate. 2011."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-202780","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:34:03Z","timestamp":1745757243000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-202780"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,2]]},"references-count":6,"alternative-id":["10.1136\/bcr-2013-202780"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-202780","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,6,2]]}}}