CHRONIC HEEL ULCERATION, RIGHT FOOT
DATE: February 2008
PATIENT: 68-year-old Caucasian female
A diabetic on dialysis presented with a chronic right heel ulcer (3.4 cm X 3.1 cm) of greater than 3 months duration. After thorough wound bed preparation over the course of 2 weeks (Fig. 4A), a BAT was chosen to bring closure to the wound site.
GammaGraft® was applied and secured in place with SteriStrips™ (Fig. 4B). The patient’s dressing was changed at one week followed by daily applications of AMERIGEL® Hydrogel Saturated Gauze Dressing, with dry sterile gauze as a secondary dressing.
The heel can be a very difficult place to heal a chronic wound for many reasons. Hydration was really the key to healing this wound as this patient developed the wound initially from excess dryness, cracking, and fissuring. After 5 weeks and 3 days, the patient achieved total healing. (Fig. 4C)