Application in a Wagner 2 DFU
James E. Geiger, Jr. DPM, CWSP, FACCWS, FACPM, FACFAS
Podiatric Surgeon, Northwestern Medicine Regional Medical Group – Palos Heights, IL, USA
Initial Presentation
Week 8 – Closed
Results
- 100% epithelialized by week 8
- Patient had four consecutive weekly applications of Symphony for 1st four weeks
- Patient unable to return to clinic, and the daughter applied standard-of-care dressings
- Fully epithelialized when returned to clinic at 8 weeks
Patient details
76-year-old male
Medical history
- Insulin-dependent diabetes mellitus with peripheral neuropathy, hyperlipidemia, and hypertension
Case details
- Wound: Wagner 2 DFU of the plantar-lateral aspect of the partial foot amputation
- Plan: Sharp bedside debridement with weekly application of Symphony in HOPD setting
Application photos
Week 0
- Post-debridement
Week 0
- Symphony Application
Week 1
- Symphony integrated
- Reduction in wound area and depth noted
- Continue weekly application of Symphony
Week 3
- Symphony integrated
- Continued reduction in wound area and depth noted
- Continue weekly application of Symphony
Week 4
- Symphony integrated
- Continued reduction in wound area and depth noted
- After this visit, patient was admitted for infected carbuncle on his back and unable to return to clinic
- Patient’s daughter performed standard-of-care dressing changes in the interim with no further Symphony application
Week 8 - Healed
- 100% epithelialized
- Patient had four consecutive, weekly applications of Symphony
- Epithelialized in 8 weeks
Results may vary. Dr. James E. Geiger has a consultancy agreement with Aroa Biosurgery.
