Lower Extremity Reconstruction Following Debridement of Necrotizing Fasciitis

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Patient History

A 53-year-old male sustained injuries following a motor vehicle collision (MVC). These injuries were further complicated by necrotizing fasciitis, resulting in a large circumferential wound extending from the thigh to the ankle. The patient is an alcoholic and suffers from coronary artery disease (CAD), acute deep vein thrombosis (DVT), and cirrhosis of the liver.

Treatment

Restrata^® Meshed was applied* to the circumferential wound, covered with a non-adherent dressing and negative pressure wound therapy (NPWT).

Conclusion

By day 25, Restrata Meshed was fully integrated, facilitating the generation of well-vascularized tissue that supported 100% skin graft take for definitive wound closure.

POST DEBRIDEMENT

Medial (top) and lateral (bottom) calf and ankle.

DAY 0

Restrata Meshed applied to medial (top) and lateral (bottom) thigh, calf, and ankle.

DAY 4

Restrata Meshed adhered with early signs of integration.

DAY 25

Restrata fully integrated with well-vascularized tissue ready for a skin graft.

WEEK 11

100% take of skin graft (8 weeks post graft application).

* Infection was controlled and no longer present at the time of 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.

Related Clinical Case Studies

Lower Extremity Reconstruction Following Debridement of Necrotizing Fasciitis

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

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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.

Traumatic Hand Injury

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

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