Case study: Diabetic ulcer on foot

Wound type:

Diabetic foot ulcer

Patient

89-year-old Caucasian male

History

Non–insulin-dependent diabetes mellitus (NIDDM)

Complete debridement achieved within four weeks*
*Individual results will vary

Wound presentation

  • Ulcer on medial right hallux interphalangeal joint, noticed four days prior to first visit
  • Seen by a primary care physician who prescribed an oral antibiotic
  • Patient was applying Neosporin™ and a small adhesive bandage daily

Treatment

  • Sharp debridement was performed at each visit
  • Patient was instructed to wash and dry the wound daily
  • SANTYL◊ Ointment was prescribed to be applied daily for debridement of necrotic tissue
  • Dry gauze was applied because the ulcer had enough drainage to supply appropriate moisture balance
Image

Day 1

  • 2.3cm x 1.5cm; 0.2cm depth
  • 20% red granular and 80% yellow fibrotic
  • Mild sanguineous drainage
  • No odor, no infection
  • Sharp debridement performed
  • SANTYL Ointment initiated
Image

Day 16

  • 0.8cm x 0.2cm; 0.2cm depth
  • 85% red granular and 15% yellow fibrotic and hyperkeratotic margins
  • Sharp debridement performed
  • SANTYL Ointment continued
Image

Day 30

  • 0.5cm x 0.2cm; 0.1cm depth
  • 100% red granular base and hyperkeratotic margins
  • Sharp debridement performed
  • SANTYL Ointment discontinued

Result

Complete debridement achieved within four weeks*
*Individual results will vary

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