| Autor: |
Dardari, Dured, Kjartansson, Hilmar, Arsaelsdottir, Ragna, Fraser, Craig, Baldursson, Baldur Tumi |
| Předmět: |
|
| Zdroj: |
Journal of Wound Management; Jul2023, Vol. 24 Issue 2, p323-323, 1/3p |
| Abstrakt: |
Aim: Patients with diabetic foot ulcer (DFU) end up with an impaired quality of life, and the medical care of patients with DFU consumes a considerable clinical and economic burden (hospitalisations, amputations, patients' follow-up, transportation, and lost workdays). 80% of amputations in patients with diabetes are preceded by the presence of a DFU; the longer the duration of DFU the higher the risk of amputation. Method: A 34-year-old patient living with diabetes since the age of 9 consulted our clinic for the management of an extensive wound on the whole of the plantar arch of his left foot. He did not present with diabetic arteriopathy, but an infectious and inflammatory syndrome confirmed by hyperleukocytosis and a level of reactive protein C at 180 mg/dl. Surgical management and negative pressure therapy did not yield any positive results. After 1 month from the onset of the wound, the lesion was spread over the entire dorsal side of the foot with the appearance of the entire foot tendon through the lesion. Transtibial amputation was proposed as a last resort in case of stagnation of the lesion. However, the patient was treated with an intact fish skin graft once weekly by a home nurse with telemedical monitoring of the lesion's appearance. Results / Discussion: After 1 month of using intact fish skin graft, a clear improvement in the appearance of the lesion was found. After 16 weeks, the wound showed complete epithelialisation and was declared healed. Conclusion: The use of intact fish skin graft by Kerecis in DFUs represents a new hope for complicated wounds and in some cases can avoid amputation. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
|
