{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:18:30Z","timestamp":1786115910118,"version":"build-2736575974"},"reference-count":14,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Split-thickness skin grafting (STSG) is commonly used for traumatic soft-tissue defects; however, graft instability and suboptimal scar outcomes remain concerns. Negative pressure wound therapy (NPWT) has emerged as an alternative fixation method to the conventional tie-over dressing. This study compared clinical outcomes between NPWT and tie-over fixation and evaluated whether defect size influenced their comparative effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Seventy-five patients who underwent STSG for traumatic soft-tissue defects between March 2020 and February 2025 were retrospectively reviewed. Patients were divided according to fixation method into NPWT (n = 38) and tie-over dressing groups (n = 37). Outcomes included operative time, complete graft-take rate, postoperative complications, and Vancouver Scar Scale (VSS) scores at 2 weeks and 6 months. Subgroup analysis was performed according to defect size (&lt;100 cm\n                      <jats:sup>2<\/jats:sup>\n                      vs \u2265100 cm\n                      <jats:sup>2<\/jats:sup>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 2 weeks postoperatively, the NPWT group demonstrated significantly lower VSS scores for vascularity, pliability, and height compared with the tie-over group (p &lt; 0.05). At 6 months, significantly lower pliability scores were observed in the NPWT group; in the \u2265100 cm\n                      <jats:sup>2<\/jats:sup>\n                      subgroup, NPWT also showed a significantly lower height score (p &lt; 0.05). Operative time was significantly shorter in the NPWT group than in the tie-over group (p &lt; 0.001). Complete graft-take rates were comparable overall; however, in defects \u2265100 cm\n                      <jats:sup>2<\/jats:sup>\n                      , NPWT achieved a significantly higher complete graft-take rate (p = 0.048).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>NPWT was associated with shorter operative time and early scar-related outcomes, particularly in larger defects. However, given the retrospective design and limited subgroup size, these findings should be interpreted cautiously, and NPWT may be considered as a useful option in selected mechanically demanding cases rather than a universal fixation method.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536261475728","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T09:12:58Z","timestamp":1785748378000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Negative pressure wound therapy versus conventional tie-over dressing for split-thickness skin graft fixation: A retrospective comparative study with defect size\u2013based subgroup analysis"],"prefix":"10.1177","volume":"34","author":[{"given":"Ha Jun","family":"Jang","sequence":"first","affiliation":[{"name":"Eulji University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9724-9026","authenticated-orcid":false,"given":"Sang Ki","family":"Lee","sequence":"additional","affiliation":[{"name":"Eulji University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2017.12.020"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2016.08.025"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1203475418782152"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/JCAS.JCAS_184_19"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000133168.57199.E1"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734621990311"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-021-02224-7"},{"issue":"10","key":"e_1_3_3_9_2","first-page":"e95015","article-title":"Effectiveness of Split-Thickness Skin Grafting in Nonhealing Ulcers: Impact of Patient Demographics, Comorbidities, and Ulcer Etiology","volume":"17","author":"C L","year":"2025","unstructured":"C L, Channasandra Shekar S, Srikantegowda MH. Effectiveness of Split-Thickness Skin Grafting in Nonhealing Ulcers: Impact of Patient Demographics, Comorbidities, and Ulcer Etiology. Cureus 2025; 17(10): e95015. https:\/\/doi.org\/10.7759\/cureus.95015","journal-title":"Cureus"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00004630-199509000-00013"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2015.04.018"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1534734607308249"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.12788\/j.sder.2015.0125"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.6452"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k4411"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261475728","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536261475728","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261475728","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T06:18:05Z","timestamp":1785997085000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536261475728"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/10225536261475728"],"URL":"https:\/\/doi.org\/10.1177\/10225536261475728","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"article-number":"10225536261475728"}}