Application in a Wagner 3 DFU with Exposed Calcaneus
John C. Lawlor, DPM
Podiatric Surgeon – Associates in Medicine and Surgery Southwest Florida
Initial Assessment
Fully Epithelialized at Week 12
Results
- Fully epithelialized at week 12
- One application of Myriad Matrix
- Excellent long-term tissue remodeling and scar remodeling at one year follow-up
- No complications
Patient details
48-year-old male
Medical history
Uncontrolled diabetes with peripheral neuropathy, peripheral arterial disease, and acute osteomyelitis
Case details
- Presentation: Chronic DFU secondary to pressure (Stage IV) to calcaneus
- Procedure: Sharp debridement, partial calcanectomy
- Applied Myriad Morcells 500 mg into the tunnel and subsequently, Myriad Matrix (3-Layer) applied over-top and hydrated in situ with saline and blood, then partial closure with retention sutures
Application photos
Initial Assessment
- 48-year-old, male
- Medical History: Uncontrolled diabetes with peripheral neuropathy, peripheral arterial disease, and acute osteomyelitis
- Presentation: Chronic DFU secondary to pressure (Stage IV) to calcaneus
- Procedure: Sharp debridement, partial calcanectomy
- Applied Myriad Morcells 500 mg into the tunnel and subsequently, Myriad Matrix (3-Layer) applied over-top and hydrated in situ with saline and blood, then partial closure with retention sutures
Week 3
- Myriad integrating
- No dehiscence
- No complications
Week 7
- 100% depth filled
- Near full epithelialization
- No complications
Week 12
- Fully epithelialized
- No complications
Long-term Follow-up
- Excellent long-term tissue remodeling and pliability
- No complications
- No recurrence as of 12-months
Results may vary. Dr. Lawlor has a consultancy agreement with Aroa Biosurgery Limited.