Toe Amputations

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 Toe amputation on a 55 year old diabetic patient. Appearance at 5 days post amputation.

Figure 2 Outpatient procedure. Wound closed after seven days of Proxiderm application. Physician used Proxiderm model D 460. Appearance at 18 days.


Case Report 2

Figure 1

Figure 2

Figure 1 Toe amputation on a 55 year old diabetic patient. Appearance at 14 day post amputation. 

Figure 2 Application of Proxiderms, model D 460.

Figure 3

Figure 4

Figure 3 Four by four dressings are placed between the Proxiderms to assist stabilization of the devices. Combines are placed beneath the edges of the devices and further combines over the devices. The Proxiderms and wound are lightly wrapped with a dry gauze (Kling) dressing and an Unna boot is then placed around the dressing to further stabilize the devices

Figure 4 Out patient procedure, wound evaluated on intervals of 2-3 days. Appearance at one week


Case Report 3

Figure 1

Figure 2

Figure 3

Figure 1 Wound following big toe amputation on a 55 year old diabetic patient.
Appearance 4 th post-op day. Wound measure 1.5 cm by 2 cm by 3 cm deep.

Figure 2 Application of D 180 460 Proxiderm. 

Figure 3   Wound evaluated on 2 to 3 days intervals and closed after 7 days of Proxiderm application. Appearance at 10 days.

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