Application in a Lower Leg Trauma Following a Motor Vehicle Accident

Endoform™ Antimicrobial

Leanne Beals

Wound Nurse Specialist, Hawkes Bay District Health Board
Initial Presentation
Day 88 – Fully Healed

Results

  • Significant tissue infill achieved
  • Ready for STSG by Day 22
  • 100% take of skin graft

Patient details

17-year-old female

Medical history

No notable history

Case details

  • Motor vehicle accident
  • Full thickness lower limb laceration with exposed tendon/bone/ fascia
  • Additional injuries sustained: bilateral pelvis and femur fractures, bilateral pneumothoraces, spleen laceration, rib and scapulae fractures

Application photos

Week 0

  • Irrigate with saline.
  • Apply Endoform Antimicrobial (double layer)
  • Cover Endoform with non-aherent contact layer and apply NPWT

Day 2

  • Residual Endoform visible in the wound bed
  • Cleanse with normal saline
  • Reapply Endoform to exposed tissue,
  • Non-adherent, then NPWT
  • Dressing change x3 weekly

Day 6

  • Continued development of granulation tissue and infill of wound depth
  • Irrigation,
  • Endoform
  • Non-adherent dressing, then NPWT

Day 8

  • Residual Endoform visible
  • Continue Endoform treatment and dressing regime

Day 12

  • Epithelialization at margins and coverage of tendon/bone complete

Day 16

  • Residual Endoform present
  • Depth of wound filled and epithelial margins developing

Day 19

  • Continue Endoform treatment and dressing regime
  • Based on quality of the developing tissue, plan for a STSG (split thickness skin graft)

Day 29 – 1 Week post STSG

  • Day 7 post application of a STSG
  • Interstices beginning to fill
  • ~100% STSG take

Day 88

  • Fully healed
  • Patient discharged

Results may vary. Leanne Beals has a consultancy agreement with Aroa Biosurgery.

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  13. Data on file
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