Application in a Wagner 3 DFU with Abscess
John C. Lawlor, DPM
Podiatric Surgeon – Associates in Medicine and Surgery Southwest Florida
Intra-operative
Healed at Week 13
Results
- Fully epithelialized at week 13
- Excellent long-term tissue remodeling and scar remodeling at one year follow-up
- No complications
- No recurrence as of 16-months
Patient details
58-year-old male
Medical history
Uncontrolled diabetes with peripheral neuropathy
Case details
- Procedure: I&D, debridement
- Applied Myriad Morcells (500 mg) into the deepest part of defect, then applied Myriad Matrix (3-Layer). Both products hydrated in situ with saline and blood
- Absorbable antibiotic beads applied, and retention sutures placed for re-approximation
Application photos
Intra-operative
Week 2
- Myriad integrating
- Care taken to leave graft intact and rehydrated
Week 4
- 100% depth filled
- Myriad continues to integrate, note residual Myriad, left intact
- No complications
Week 8
- Near full epithelialization
- Continue sharp debridement and offloading
- No complications
Week 13
- Fully epithelialized
- No complications
One Year Follow-up
- Excellent long-term tissue remodeling and scar remodeling
- No complications
- No recurrence as of 16-months
Results may vary. Dr. Lawlor has a consultancy agreement with Aroa Biosurgery Limited.
