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A 33-year-old man had chronic
recurrent venous ulceration of the leg following
femur fracture and femoral vein injury at age 14.
Surgery was opted after repetitive cycles of disease
made it clear that the skin and scars were unstable
and would be perpetually ulcerated in spite of care.
All pathological tissues were excised, exposing
inflammatory dysplasia of the tibial cortex.
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The tibia was planed back to architecturally
normal bone. Integra was used to cover the entire
wound.
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At 5 months, the wound is almost
completely healed (it has since healed and has remained
stable for 5 years).
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Cases Courtesy of:
Marc E. Gottlieb, M.D., Jennifer Furman
Journal of Burns and Wounds, Vol 3, #2
