An open wound prevents a patient from returning to normal activities. It is always at risk for serious bacterial infections and should be closed quickly. The ideal wound closure requires local site, full thickness skin and sub-cutaneous tissue to withstand the stresses of daily living

Case Report 1

Figure 1 Figure 2

Figure 1 A 60 year old diabetic, neuropathic patient with an ulcer measuring 1 cm by 1.5 cm on the metatarsal and an ulcer 8 cm by 3cm on the sole of the foot. Patient also required removal of three toes. Proxiderms applied 14 days post surgery. The physician used Proxiderm model D 460.

Figure 2 There were four, five day applications of Proxiderms. The wound was evaluated on intervals of 2 to 3 days. Appearance at 22 days 

Case Report 2

Figure 1 Figure 2 Appearance at one month

Figure 1 A 55 year old diabetic was admitted with gross sepsis of the sole of the foot. A radical debridement was carried out leaving a defect of 5 cm by 4 cm.  Five days after debridement the Proxiderm model D 460 were applied for a total of five days.   The wound was evaluated on intervals of 2 to 3 days.

Figure 2 The patient also required multiple debridements of the anterior foot which two weeks later necessitated amputations of two lateral toes resulting in a defect of 4.5 cm by 5 cm. Proxiderms were applied to the anterior foot for 17 days interrupted for 6 days by an inflammatory episode

Case Report 3

Figure 1 Figure 2

Figure 1 A 49 year old painter stepped on a nail and his foot became infected. The infection traveled down the fascia and destroyed a large portion of the sole of the foot He was a severe diabetic and was recommended for a below the knee amputation.

Figure 2   Applications of Proxiderm model D 460

Figure 3 Figure 4

Figure 3 Proxiderms were applied for five days and evaluated on a daily basis due to  contamination. On the fifth day the patient developed a high temperature and the procedure was stopped. Four days later the Proxiderms were applied for an additional three days and the wound was closed by suture.

Figure 4   Appearance at 34 months

Back

Introduction | Instructions | Medical Publications | Clinical Cases | Email
PROGRESSIVE SURGICAL PRODUCTS 89 Garden St.   Westbury, NY 11590  516-876-8288   fax: 516-997-0649