Limb salvage using advanced technologies: a case report

Patients with severe acute and chronic lower extremity wounds often present a significant challenge in terms of limb salvage. In addition to control of infection, assuring adequate perfusion and providing standard wound care, advanced modalities are often required to facilitate final wound closure....

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Bibliographic Details
Published in:International wound journal 2015-02, Vol.12 (1), p.53-58
Main Authors: Frykberg, Robert G, O'Connor, Rachel M, Tallis, Arthur, Tierney, Edward
Format: Article
Language:English
Subjects:
Advanced wound care therapies
Biological Dressings
Coated Materials, Biocompatible
Diabetic foot
Diabetic Foot - complications
Diabetic Foot - pathology
Diabetic Foot - therapy
Gangrene
Humans
Limb Salvage - methods
Male
Middle Aged
Negative pressure wound therapy
Original
Skin substitutes
Soft Tissue Infections - complications
Soft Tissue Infections - pathology
Soft Tissue Infections - therapy
Wound
Wound Closure Techniques
Wound Healing
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Summary:Patients with severe acute and chronic lower extremity wounds often present a significant challenge in terms of limb salvage. In addition to control of infection, assuring adequate perfusion and providing standard wound care, advanced modalities are often required to facilitate final wound closure. We herein present a case study on a diabetic patient with gangrene and necrotising soft‐tissue infection who underwent a forefoot pedal amputation to control the sepsis. Despite his non invasive vascular studies demonstrating poor healing potential at this level, he was not deemed suitable for revascularisation by our vascular surgeons and ankle‐level amputation was recommended. Nonetheless, over a 5‐month period using multiple advanced wound care therapies, wound closure was ultimately achieved.
ISSN:1742-4801
1742-481X
DOI:10.1111/iwj.12050