Necrotic Volar Forearm Wound

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Patient History

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.

Treatment

Following debridement of necrotic tissue,* Restrata® Meshed was applied to the wound bed. Negative pressure wound therapy (NPWT) was utilized for two weeks, followed by daily dressing changes. By week 4, the patient developed a healthy granulation base and received a split-thickness skin graft (STSG).

Conclusion

Seven weeks after the initial application of Restrata, and three weeks after the STSG application, the patient was deemed fully healed.

Week 0

Presentation; Restrata Meshed application

Week 1

Week 2

Week 3

Received STSG at Week 4

Week 7

Deemed fully healed

*Infection was controlled and no longer present at the time of the initial Restrata application.
Restrata has not been studied in wounds that extend into the tendon, muscle, joint capsule, or bone. Restrata should not be applied until excessive exudate, bleeding, acute swelling, and infection is controlled. Please refer to the Instructions for Use for a full list of indications, contraindications, precautions, and warnings.

MKG-30174

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