Application in a Traumatic Leg Amputation
Michael Cormican, MD
Trauma Surgeon – Northeast Georgia Physicians Group Northeast Georgia Medical Center – Gainesville, GA
Initial Presentation
Week 8
Results
-
- Well vascularized granulation tissue developing by day 14
- Split-thickness skin graft (STSG) applied at day 37
- Well-remodeled skin by week 8
- No infection or complications
- A single application of Myriad
Patient details
79-year-old female
Medical history
Scleroderma, hepatitis, varicosities of the legs
Case details
- Acute traumatic injury to the left leg due to recreational boat propeller with massive tissue disruption
Application photos
Intra-operative - Day 3
- Initial Procedure: OR wound evaluation & debridement
- Index Procedure (3 days later): Amputation of mangled limb and re-approximation of tissue
Post Myriad application
- Application of Myriad Matrix (10 x 20 cm (2x), 10 x 10 cm, 3-layer), trimmed to size, secured with suture to the posterior thigh and a separate application to the distal stump
- Secondary dressing: Petroleum gauze contact layer and NPWT at 125 mmHg
Day 5
- Myriad well adhered, contact layer left intact
- Myriad kept intact and re-hydrated
- No sign of infection or complication
Day 14
- Myriad integrating with areas of residual graft noted and left intact
- Well-vascularized granulation tissue developing
- No sign of infection or complication
Day 22
- Significant development of organized granulation tissue
- Depth of defect eradicated
- No sign of further infection or complications
Day 33
- Further development of well-organized, vascular tissue
- No sign of infection or complications
- Plan for split-thickness skin graft (STSG) in 4 days
Day 37
- Application of STSG performed
Day 40 (1 week after STSG)
- Excellent take of STSG
- No complications
Week 8 (17 days after STSG)
- Well-remodeled skin
- 100% take of STSG
- No sign of infection or complications
Results may vary. Dr. Cormican has a consultancy agreement with Aroa Biosurgery Limited.