Traumatic Lower Extremity Wound

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Patient History

Patient is a 53-year-old male with a partial-thickness wound on their medial ankle following necrotizing fasciitis due to trauma from a motor vehicle accident. Incision and drainage (I&D) with negative pressure wound therapy (NPWT) was done multiple times to the wound prior to Restrata application. The patient is an alcoholic and suffers from coronary artery disease, acute deep vein thrombosis (DVT), and cirrhosis of the liver. *

Treatment

Restrata MiniMatrix (500mg) was applied to the wound bed, covered with a non-adherent dressing, and secured with NPWT at Week 0. NPWT was changed at Week 1. Restrata helped to fill in the defect and provided a better-granulated tissue base for STSG in this complex traumatic wound. At Week 7, the patient received STSG. The patient showed a successful graft take with excellent skin pigmentation. **

Conclusion

Once a healthy wound bed was established with Restrata, a STSG was applied Week 7. Restrata supported new granulation tissue allowing for transition to definitive closure with a STSG.

Week 0: Initial Application

Week 1: Partially Integrated

Week 2: Mostly Integrated

Week 3: Granulation Tissue Present

Week 15: 8 Weeks Post STSG

*MKG-30140

**Disclaimer: Restrata has not been studied in wounds that extend into the tendon, muscle, joint capsule, or bone. Please refer to the Instructions for Use for a full list of indications, contraindications, precautions, and warnings.

Related Clinical Case Studies

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Traumatic Hand Injury

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

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