Application in a Chronic Lower Extremity Wound
Anthony J. LaLama, DPM
Podiatric Surgeon – Premier Foot & Ankle Ascension Providence Hospital – Southfield, MI
Initial Defect
Week 14
Results
- Near full epithelialization
- No complications
Patient details
40-year-old male
Medical history
Uncontrolled diabetes, peripheral vascular disease, history of prior amputation
Case details
- Wound: Full thickness ulcer of the right lateral foot, with exposed tendon and bone due to spontaneous varus deformity
- Wound age: 9 years with chronic osteomyelitis and multiple prior abscesses
- Approximate size: 4 cm x 2 cm x 0.3 cm
- Initial procedure (~5 months prior): Talectomy, and application of external fixation to address angular deformity and stabilize ankle
Application photos
Week 0
- Applied Myriad Morcells (500 mg) to wound bed hydrated with saline
Week 0
- Then applied Myriad Matrix (10 x 10 cm, 5-Layer), hydrated in saline, secured with staples
- Secondary dressing: contact layer, antibacterial foam, gauze wrap
Week 3
- Noted budding of granulation tissue
- Myriad integrating well into wound bed
- No complications
Week 10
- Vascular, granular neodermis formed and Myriad fully integrated into the wound bed
- Evidence of epithelialization
- No complications
- Continue to close via secondary intention
Week 14
- Near full epithelialization
- No complications
Results may vary. Dr. LaLama has a consultancy agreement with Aroa Biosurgery.
