A wound management accessory (10) and a method of dressing a wound (28,30) in the vicinity of an external orthopaedic fixator pin (24) are provided. The accessory (10) has a resilient body with a sleeve (12) defining an inner bore (18) that is shaped and dimensioned to fit around the circumference of the fixator pin (24) with an interference fit. The body also defines a flange (14) extending radially from the bore. The method comprises applying the accessory (10) to the pin (24) by passing the pin through the bore (18), covering the wound (28,30) at least in part with an occlusive adherent film (34), attaching at least the flange (14) of the accessory to the film in a generally sealing manner and applying a negative pressure to the wound beneath the film.