Application in a Wagner 2 Diabetic Foot Ulcer (DFU)

Endoform™ Natural

Laura Swoboda, DNP, APNP, FNP-BC, CWOCN-AP

Wound Care Coordinator – Froedtert & Medical College of Wisconsin, Menomonee Falls, WI
Initial Presentation
Week 15 – Healed

Results

  • Fully re-epithelialized by week 15
  • No complications
  • Able to ambulate in diabetic shoe with proper offloading
  • No recurrence as of 11-months

Patient details

77-year-old male

Medical history

Uncontrolled diabetes

Case details

  • Wound: Full-thickness Wagner 2 DFU of the right foot, sub-metatarsal 1, present for at least 2-months
  • Measurement: 2.8 x 2.2 x 0.5 cm
  • No insurance coverage for CTP/skin sub/CAMP, nor ultrasonic debridement

Application photos

Initial Presentation
Week 0 - Initial Presentation

  • Increase protein intake to 150 g per day
  • Continue vitamin D supplementation
  • Discussed dipeptide collagen supplementation (30 mL 3-4 times per day) to increase skin moisture, elasticity
  • Unable to continue total contact cast (TCC) due to safety concerns
  • Modified CAM boot with orthotist consultation and instructed patient to be NWB to right foot
  • Plan: Begin weekly application of Endoform Natural

Week 3

  • Significant reduction in wound area noted
  • Continue weekly application of Endoform Natural

Week 5

  • Further neo-epithelialization noted
  • Continue weekly application of Endoform Natural

Week 12

  • Further depth fill noted
  • Continue weekly application of Endoform Natural

Week 15

  • 100% epithelialized
  • No complications
  • Able to ambulate in diabetic shoe with proper offloading
  • No recurrence as of 11-months

Results may vary. Dr. Laura Swoboda has a consultancy agreement with Aroa Biosurgery Limited.

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  13. Data on file
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