Case study: Necrotic eschar on right forearm

Wound type:

Necrotic eschar

Patient

69-year-old African-American male

History

Medical history of deep vein thrombosis, hip surgery, prostate cancer, ankle fusion, radial nerve palsy, and blood clots. Medications include warfarin, calcium supplements, and metoprolol. Non-smoker.

100%
granulated tissue achieved in 10 weeks*
*Individual results will vary

Wound presentation

The hematoma was evacuated by an orthopedist in the emergency room, leaving full-thickness skin necrosis.

Treatment

Image

Day 1

  • Daily saline wash and application of SANTYL◊ Ointment, which facilitated a bloodless eschar debridement. Patient seen by physician every two weeks.
  • Wound measures 13.1cm x 5.0cm
  • Daily SANTYL Ointment application started by orthopedist three days prior to baseline and continued post-baseline
  • After a daily wash, SANTYL Ointment was applied at home by patient on top and along
Image

Day 28

Pre-debridement

  • Wound measures 10.4cm x 2.9cm, approx. 39% smaller from baseline
  • No purulence, cellulitis, or odor
  • Mostly granulation tissue with necrotic subcutaneous tissue visible throughout
  • Wound is sharp debrided with a large curette removing the necrotic subcutaneous tissue
  • Daily wash and SANTYL Ointment application with saline dressing continued
Image

Day 28

Post-debridement

Image

Day 56

  • Wound measures 5.2cm x 1.0cm, down 83% from Day 28 and 93% from baseline
  • Surface area nearing complete granulation
  • Some necrotic subcutaneous tissue
  • No cellulitis
  • Daily wash and SANTYL Ointment application with saline dressing continued
Image

Day 70

  • Wound measures 4.6cm x 0.9cm, 95% reduction from baseline
  • 100% granulated
  • Discontinued SANTYL Ointment
  • Initiated hydrogel daily dressing changes

Result

100%
granulated tissue achieved in 10 weeks*
*Individual results will vary

Download patient case study: Necrotic eschar on right forearm

Download PDF