Case Studies :: Acera Surgical Inc.

Extensive Left Hip Debridement for Chronic Periprosthetic Joint Infection*

A 57-year-old woman with a complex surgical history involving multiple left hip revisions presented with acute pain, raising concern for a chronic periprosthetic joint infection (PJI).

Reconstruction of a Traumatic Degloving Injury

A 43-year-old male presented to the emergency department with extensive injuries resulting from both legs getting caught in an earth auger.

Traumatic Epidermal Skin Slough Repair

An 89 year-old female presented to the Emergency Department with a traumatic epidermal skin slough.

5th Metatarsal Amputation and Osteomyelitis Treatment

Patient is a 70-year-old female who presented to clinic with osteomyelitis of the right fifth metatarsal following previous treatment of a soft-tissue defect. Patient has a past medical history of peripheral neuropathy, type 2 diabetes, and Gullain- Barre syndrome.

Grade IIIA Open Tibial Fracture Following Motor Vehicle Crash

Patient is a 23-year-old female who presented to the emergency department following a motor vehicle crash (MVC). Patient underwent an index surgery for implantation of an intermedullary (IM) nail through the tibia to stabilize a grade IIIA open tibial fracture.

High Energy Open Pilon Fracture

Patient is a 35-year-old female who presented to the emergency department with significant necrotic tissue throughout her calf after undergoing surgery for an open pilon fracture.

Squamous Cell Carcinoma Resection

Patient is a 66-year-old male who presented with squamous cell carcinoma (SCC) of the right face and forehead.

Reconstruction of Hidradenitis Suppurativa Resection

A 65-year-old female presented with a non-healing wound in the left axilla resulting from hidradenitis suppurativa (HS), a chronic inflammatory skin condition.

Necrotic Volar Forearm Wound

A 30-year-old male presented with a large volar forearm open wound due to drug use with a suspected contaminated needle. The wound affected the left upper extremity, causing necrosis from the elbow and continuing distally to the wrist crease.

Fibula Free Flap Donor Site Dehiscence

A 32-year-old female presented with a six-month-old gunshot wound to the face. A fibular free flap was harvested to address the facial wound. A month after the initial fibular free flap harvest, the donor site wound began to dehisce.

Necrotizing Fasciitis of the Left Groin

Patient presented to the emergency department with symptoms of necrotizing fasciitis of the left groin. Patient has a past medical history of obesity and diabetes mellitus.

Chemical Scalp Burn Following Sodium Hydroxide Spill

Patient presented with a chemical burn after spilling a bucket of lye (sodium hydroxide) on his head, chest and face during a work accident.

Management of Massive Necrotizing Fasciitis Excision

Aggressive case of necrotizing fasciitis in the torso and upper extremities. The total excised area was 4,832 cm² with exposed fascia, muscle, and several ribs. Over the course of 123 days and multiple applications of Restrata, only minor openings remained.

Retrospective Analysis of MiniMatrix™ in Complex Lower Extremity Wounds

A Case Series in Foot & Ankle Surgery

Necrotizing Fasciitis of the Lateral Right Foot

Patient is a 51-year-old male who presented to the emergency room with necrotizing fasciitis to the lateral right foot. The patient has a past medical history of diabetes mellitus.

Necrotizing Fasciitis of Chest and Neck

Patient presented with necrotizing fasciitis after injecting a mixture of crystal meth and industrial cleaner into her neck, missing the vein. Using Restrata, the wound was taken to eventual closure via secondary intent. Three months after the initial application, the patient was discharged.

Volar Forearm Melanoma

Excision of volar melanoma and progressive wound healing over 6 weeks.

Residual Right Shoulder Dermatofibrosarcoma Protuberans (DFSP)

Patient developed a healthy granulation base and received a split-thickness skin graft (STSG) 4 weeks post Restrata application.

Hip to Mid-Calf Circumferential Avulsion

Patient presented with circumferential degloving of the right hip through mid-calf after being struck by a cement truck crossing the street.

Full-Thickness Scalp Defect

One application of Restrata was used to generate a healthy granulation base and allowed the patient to receive a split-thickness skin graft. Full closure was achieved in 10 weeks.

Surgical Wound Post-Cancer Resection

Over 11 weeks, with 3 Restrata applications, this surgical wound was able to close via secondary intention. Restrata provided a viable option for surgical wounds post cancerous excisions.

Traumatic Lower Extremity Wound

Progressive healing following lower extremity motor vehicle trauma

Traumatic Hand Injury

Patient healed via secondary intention, no longer required a STSG.

Traumatic Gunshot Wound

After 3 applications, Restrata helped to provide a better-granulated tissue base for a STSG in this complex wound.

Dehisced Surgical Wound Post Ankle Fracture

Patient healed in seven weeks with two applications of Restrata.

Lower Extremity Reconstruction Following Debridement of Necrotizing Fasciitis

A 53-year-old male sustained injuries following a motor vehicle collision (MVC).

Open Ankle Fracture

Patient presented with an open supination adduction (SAD) ankle fracture and associated large lateral tension failure wound.

Subacute Open Ankle Fracture-Dislocation in a Medically Comorbid Patient

Elderly male with significant medical comorbidities presented with a 3-week-old open ankle fracture and was deemed not a soft tissue reconstructive candidate by plastics service. The patient refused amputation and elected for limb salvage.

Chronic Inflammatory Tissue Following Failed Silicone Injections

A 52-year-old patient had previously undergone gender affirmation surgery involving silicone oil injections into the hips, buttocks, and thighs.

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