Traumatic Gunshot Wound

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Patient History

Patient is a 39-year-old male with contaminated full-thickness wound to lower left leg from a gunshot. Incision and drainage (I&D) with negative pressure wound therapy (NPWT) was done multiple times to the wound. prior to Restrata application. Patient is a daily smoker. Intramedullary nailing of the left tibia fracture. Underwent antibiotic therapy via a PICC line to control infection prior to Restrata application. *

Treatment

Restrata Sheets applied to the wound, secured, covered with non-adherent dressing followed with NPWT at Week 0, Week 4, and Week 9. At Week 12, the wound was adequately granulated and a STSG was applied. **

Conclusion

After 3 applications, Restrata helped to provide a better-granulated tissue base for a STSG in this complex wound. The patient showed successful graft take with excellent skin pigmentation.

Week 0

Patient Presents/Restrata Application

Week 0

5 days Post Restrata Application

Week 4

2nd Application of Restrata

Week 8

Healing Progression

Week 12

STSG Application

Week 14

STSG Incorporating

*MKG-30141

**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

Traumatic Hand Injury

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

Traumatic Lower Extremity Wound

Progressive healing following lower extremity motor vehicle trauma

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