Dehisced Surgical Wound Post Calcaneal Repair

Patient History

Patient is a 54-year-old male who underwent surgery to remove implanted hardware and osteophytes following a calcaneal fracture repair. Post-operatively, the surgical incision dehisced. The resulting wound was open for a period of 4 weeks and was refractory to standard of care, wet-to-dry dressings, and an Unna boot. Patient was offered the option to be referred to a plastic surgeon for a possible flap but did not want further surgery.

Primary Diagnosis

Disruption of external operation (surgical) wound

Treatment & Outcome

Patient was seen weekly, and the wound was sharply debrided with a 15 blade and treated with applications of Restrata every other week. The Restrata was fenestrated with a 15 blade and affixed with Steri-Strips^TM. Primary dressings included wound gel based on moisture content and a petrolatum-based non-adherent. Secondary dressings included 4x4 gauze, roll gauze, and compression wraps. Patient achieved closure after four Restrata applications.

Week one: 1st application

Wound size: 2.9 x 1.5 cm

Week three: 2nd application

Wound size: 2.4 x 1.3 cm

Week four: 3rd application

Wound size: 2.0 x 0.5 cm

PAR: 77%

Week six: 4th application

Wound size: 1.3 x 0.4 cm

PAR: 88%

Week seven

Wound outcome: Healed

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