Case study: Unstageable pressure ulcer on lower leg

Wound type:

Pressure ulcer

Patient

89-year-old female

History

Alzheimer’s dementia, chronic renal insufficiency, hypertension, ABI: 0.87, coronary artery disease, Prealbumin: 15.8, congestive heart failure

100%
Complete debridement in 42 days*
*Individual results will vary

Wound presentation

  • Unstageable pressure ulcer resulting from the trauma of a fall which caused fractures to the left tibia and fibula
  • Patient was non-ambulatory with multiple comorbidities prior to the fall
  • Surgical intervention was deemed inadvisable, and the leg was placed in an immobilizer

Treatment

Though treatment details are not available, it is known that SANTYL Ointment was applied daily.

Individual results will vary.

  • Treatment discontinuation information not available.
Image
pressure ulcer baseline

Baseline

  • 8.82cm x 6.64cm (no depth)
  • 85.6% non-viable tissue
  • Scant serous drainage
  • No odor
  • Unremarkable periwound
Image
pressure ulcer day 14

Day 14

  • 4.85cm x 2.86cm (no depth)
  • 76% wound area decrease from baseline
  • 69.4% non-viable tissue
  • Mild serous drainage
  • No odor
  • Unremarkable periwound
Image
pressure ulcer day 28

Day 28

  • 4.45cm x 2.65cm; 0.6cm depth
  • 26.2% non-viable tissue
  • Residual necrotic tissue remaining over
  • Mild serosanguinous drainage
  • No odor
  • Unremarkable periwound
Image
Wound on day 42 of treatment

Day 42

  • 3.75cm x 1.50cm; 0.50cm depth
  • 90% wound area decrease from baseline
  • Wound bed granulating
  • Mild serosanguinous drainage
  • No odor
  • Unremarkable periwound
  • Epithelialization from wound margins is well established

Result

100%
Complete debridement in 42 days*
*Individual results will vary

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