Application in a Foot NSTI
Michael Cormican, MD
Trauma Surgeon – Northeast Georgia Physicians Group. Northeast Georgia Medical Center – Gainesville, GA
Initial Presentation
Week 25
Results
- Fully epithelialized at week 25
- Pliable tissue regenerated
- No complications
Patient details
50-year-old male
Medical history
Diabetes mellitus
Case details
- Necrotizing soft tissue infection (NSTI) of the left plantar foot with exposed bone and tendon
Application photos
Post-debridement
- Sharp debridement
Myriad Morcells and Myriad Matrix Application
- Application of Myriad Morcells (1000 mg) to irregular wound bed and then Myriad Matrix (10 cm x 10 cm, 3-Layer) trimmed to size to fit the entire defect, and secured with non-absorbable suture
- Dressed with petroleum gauze contact layer and NPWT at 125 mmHg
Day 5 - Intra-operative Defect
- Sharp debridement revealed further compromised tissue, resulting in resection of non-viable 4th ray and application of Myriad Morcells (1000 mg) to irregular wound bed
- Noted integration of previous Myriad application with early coverage of exposed bone and tendon with granulation tissue
- Dressed with petroleum gauze contact layer and NPWT at 125 mmHg
Week 2
- Further development of vascularized granulation tissue
- No sign of infection or complications
Week 4
- Defect nearly covered in newly developed granulation tissue
- 90% depth eradicated
- No further exposed bone and tendon
- No complications
Week 7
- 100% depth eradicated and granulation tissue formed
- No further exposed bone and tendon
- No complications
Week 9
- Reduction in wound area noted
- Ready for STSG or healing by secondary intention
Week 12
- Continued reduction in wound area
- Plan to continue healing by secondary intention
- No complications
Week 25
- Fully epithelialized
- Pliable tissue regenerated
- No complications
- Two applications of Myriad across the continuum of care
Results may vary. Dr. Cormican has a consultancy agreement with Aroa Biosurgery Limited.
