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FULL-THICKNESS HEEL ULCERATION, RIGHT FOOT

DATE: July 2008
PATIENT: 47-year-old Caucasian female

MEDICAL HISTORY:
A diabetic patient with profound peripheral neuropathy developed a blister on the plantar aspect of her right heel that became recalcitrant to conservative treatment. The patient’s wound was debrided weekly until the wound developed a healthy granular base. (Fig. 6A)

TREATMENT:
Apligraf®, a cellular BAT (Living Skin Equivalent) was chosen to close the wound. It was secured in place with Steri-Strips™ and covered with AMERIGEL® Hydrogel Saturated Gauze Dressing, along with the use of a Bledsoe® boot and a wheelchair. One week post-application, the ability of the AMERIGEL Hydrogel
Saturated Gauze Dressing to maintain a moist, healthy wound base was evident. (Fig. 6B)

After daily application of AMREIGEL Hydrogel Saturated Gauze Dressing and dry sterile gauze as the secondary dressing, the wound showed significant improvement. (Fig. 6C)

RESULTS:
At 4 weeks and 4 days, the wound site was healed. (Fig. 6D)

Case Study Heel Wound Image Figure 1

Figure 6A
7/8/08

Case Study Heel Wound Image Figure 2

Figure 6B
7/15/08

Case Study Heel Wound Image Figure 3

Figure 6C
7/22/08

Case Study Heel Wound Image Figure 4

Figure 6D
8/12/08