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Product Description and Benefits
  Indications for Use
  Product Makeup/Histology
  Clinical Sequence
 
    Venous Stasis Ulceration
    Ulceration to both feet and anterior ankles
    Trans-metatarsal amputation
    Traumatic degloving calcaneal fracture
    Stump Salvage
 
    Exposed Bone
    Chronic Venous Ulceration
    Immunopathic Wound
    Exposed Joint
    Limb Salvage
    Leg Ulceration
    Arterial Disease
    Hypercoagulable Disorder
    Ankle Ulcer
    Ischemic Ulceration
    Forefoot Ulceration
    Heel Ulcer
    Summary
  Summary
   


Achilles Ulcer
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A 65-year-old woman with Wegener's granulomatosis and - related pulmonary disease developed an Achilles ulcer. A period of wound care and stabilization of disease induced some "granulation tissue", a proliferative wound module, and indicative of wound healing competence. However, because of tendon shearing, this wound cannot heal easily, even in a healthy person, and with active disease, risks to wound and patient are high.

Electrical/flame burn to neck


In surgery, the wound was excised, and the tendon was decorticated until only healthy fibers remained. The blue lines are the design for a reverse sural nerve flap and donor site skin grafts, considered then rejected in favor of utilizing Integra.

Fascial excision of chest

Integra is shown here incorporated into the wound and ready for skin graft

INTEGRA® Dermal Regeneration Template

Two months later, the tendon is healed and stable

Elastic net dressing

Cases Courtesy of:
Marc E. Gottlieb, M.D., Jennifer Furman
Journal of Burns and Wounds, Vol 3, #2

 
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