Healing of the Human Kind Date: 08/21/08 Pre-Debridement Wound Size: 2.0cm x 2.3cm x .3cm Patient History Patient is a 51 year old IDDM female, 200 lbs, 5’6 who presents to my office with a CC ulcer to the lateral aspect of the right foot. Diagnosis Chronic non-healing ulcer lateral aspect right foot present for approximately 3 months duration. Ulcer measures 2.0cm x 2.3cm x 0.3cm. Base of ulcer consists of mixed granular and fibrotic tissue with signs of infection noted. Wound Treatment & Outcome Patient was worked up for osteomyelitis via serial radiographs and MRI with/without contrast, both of which were negative. Culture & sensitivity was performed during initial visit. Infection was treated accordingly via oral antibiotic. 4 Dermagraft applications, including debridements were performed on a weekly basis resulting in full closure of the wound. Proper offloading modality consisting of TCC was used in conjunction with optimal nutritional supplementation. A Dermagraft ® Case Study Presented by: Abraham Wagner, DPM Date: 08/28/08 1 st Dermagraft Application Wound Size: 2.0cm x 2.3cm x .3cm Date: 09/07/08 2 nd Dermagraft Application Wound Size: 1.5cm x 1.5cm x .2cm Date: 09/14/08 3 rd Dermagraft Application Wound Size: .9cm x .8cm x .9cm Date: 09/21/08 4 th Dermagraft Application Wound Size: .7cm x .2cm x .1cm Date: 09/28/08 Healed
Transcript
Healing of the Human Kind
Date: 08/21/08Pre-Debridement Wound Size: 2.0cm x 2.3cm x .3cm
Patient HistoryPatient is a 51 year old IDDM female, 200 lbs, 5’6 who presents to my office with a CC ulcer to the lateral aspect of the right foot.
Diagnosis
Chronic non-healing ulcer lateral aspect right foot present for approximately 3 months duration. Ulcer measures 2.0cm x 2.3cm x 0.3cm. Base of ulcer consists of mixed granular and fibrotic tissue with signs of infection noted.
Wound Treatment & OutcomePatient was worked up for osteomyelitis via serial radiographs and MRI with/without contrast, both of which were negative. Culture & sensitivity was performed during initial visit. Infection was treated accordingly via oral antibiotic. 4 Dermagraft applications, including debridements were performed on a weekly basis resulting in full closure of the wound. Proper offloading modality consisting of TCC was used in conjunction with optimal nutritional supplementation.
A Dermagraft® Case Study Presented by:Abraham Wagner, DPM
Date: 08/28/081st Dermagraft ApplicationWound Size: 2.0cm x 2.3cm x .3cm
Date: 09/07/082nd Dermagraft ApplicationWound Size: 1.5cm x 1.5cm x .2cm
Date: 09/14/083rd Dermagraft ApplicationWound Size: .9cm x .8cm x .9cm
Date: 09/21/084th Dermagraft ApplicationWound Size: .7cm x .2cm x .1cm
Date: 09/28/08Healed
Make the Shift.Any wound that remains unhealed after 4 weeks is cause for concern, as it is associated with worse outcomes, including amputations. Make the shift to Dermagraft for faster healing times with clinically proven results. Dermagraft: Delivering living cell therapy.
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Dr. Wagner graduated with a Bachelor of Science in biology from Hofstra University. He then completed his Doctoral Degree in podiatric medicine at Barry University. Dr. Wagner continued his advanced surgical residency training for three more years in reconstructive foot and ankle surgery at South Miami/Baptist Hospital. During his final year of surgical training, he had the distinction of being appointed chief resident. Dr. Wagner is an associate at The Foot and Ankle Institute of South Florida, a leading center for the treatment of foot ulcers and wound care. He has taken a special interest in Venous Disease and has made this his sub-specialty. He has received extensive training on lower extremity leg vein treatments from experts in the field of Phlebology. Subsequently, Dr. Wagner founded the South Florida Vein Institute. As the lead practitioner at the South Florida Vein Institute, Dr. Wagner is dedicated to providing proven, safe, advanced treatment of varicose veins in a state-of-the-art office setting. Dr. Wagner appears frequently as a speaker at medical conferences throughout the Americas, as well as an expert commentator in both English and Spanish-language broadcast and print media.
Abraham Wagner, DPM
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