Case study: Bilateral dorsal foot wounds
Wound type:
Pressure injury
Patient
68-year-old female
History
Diabetes, peripheral neuropathy, peripheral artery disease with prior endovascular intervention, toe amputation for osteomyelitis
Foot wounds closed completely in 18 weeks with SANTYL◊ Ointment, sharp debridement and moist gauze dressings*
*Individual results will vary
Wound presentation
- Wound measurements: L: 5.0cm, x 3.0cm x 0.1cm R: 3.5cm x 2.5cm x 0.1cm
- Mild peri-wound erythema
- Fibrinous dry slough present on both wounds
Treatment
- Wounds sharp debrided, started on silver dressings
- SANTYL Ointment debridement daily with instructions to start once delivered (and discontinue silver dressing)
- Patient had a follow up seven days later where her wounds measured 4.0cm x 2.0cm x 0.1cm (left foot) and 2.2cm x 1.8cm x 0.1cm (right foot)
- The wound was sharp debrided and SANTYL Ointment was continued with non-adherent moist gauze dressings
Image
Baseline
Image
Week 3
- Wound measurements: L: 2.5cm x 1.5cm x 0.1cm R: 1.5cm x 1.0cm x 0.1cm
- Sharp debridement
- Continued SANTYL Ointment daily with non-adherent moist gauze dressings
Image
Week 9
- Wound measurements: L: 1.0cm x 0.5cm x 0.1cm R: 0.5cm x 0.4cm x 0.1cm
- Sharp debridement
- Continued SANTYL Ointment for one more week then back to silver collagen and gauze dressings
Image
Week 12
- Wound measurements: L: closed R: 0.5cm x 0.2cm x 0.1cm
- No sharp debridement needed
- Continued silver collagen and gauze dressings to right foot wound
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Week 14
- Wound Measurements: L: closed R: 0.1cm x 0.1cm x 0.1cm
- Continued silver collagen and gauze dressing to right foot
- Wound on right closed on week 18
Result
Foot wounds closed completely in 18 weeks with SANTYL◊ Ointment, sharp debridement and moist gauze dressings*
*Individual results will vary
Download patient case study: Bilateral dorsal foot wounds