Application over Exposed Bone and Tendon with NPWT
Initial Assessment
Week 15
Results
- Foot salvaged
- Fully closed and re-epithelialized in 15 weeks using Endoform
Patient details
41-year-old male
Medical history
- Hypertension and diabetes
- Presented to emergency room with cellulitis, swelling and a blister on right hallux and metatarsal
- Abscess was noted on the right lateral dorsal foot
- MRI revealed osteomyelitis
Case details
- Wound age: 5+ weeks
- Wound size: 9.8 x 7.0 x 0.5 cm
- Previous Treatments: NPWT and hydrogel
- Treatment: Endoform Natural plus NPWT
Application photos
Initial Assessment
- Wound size: 9.9 x 7.0 x 0.5 cm
Week 2
- Exposed tendons still visible
- Granulation tissue forming in the wound bed
- No evidence of infection
Week 2 - Application of Endoform Natural and NPWT
- Endoform Natural placed in the wound bed
- Endoform secured using non-adherent plus Steri-Strips™
- NPWT applied
Week 4
- Endoform Natural and NPWT continued with twice weekly dressing changes
- Granulation tissue starting to cover tendons
- Rolled edges starting to flatten
Week 6
- Granulation tissues covers most of tendons – still 20% tendon exposed (arrow)
- Advancement of epithelial tissue
Week 8
- Wound bed fully covered in granulation tissue
- No exposed tendons
- Further epithelialization (arrow)
Endoform Natural plus NPWT
- 100% re-epithelialized
Results may vary. Dr. Igor Zilberman has a consultancy agreement with Aroa Biosurgery Limited.
Steri-Strips™ is a trademark and property of the respective owner.