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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
    Achilles Ulcer
    Exposed Bone
    Chronic Venous Ulceration
    Immunopathic Wound
    Exposed Joint
    Limb Salvage
    Leg Ulceration
    Arterial Disease
    Hypercoagulable Disorder
    Ankle Ulcer
    Ischemic Ulceration
    Forefoot Ulceration
 
    Summary
  Summary
   


Heel Ulcer
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A 60-year-old man with severe diabetes, vascular disease, and previous left below knee amputation developed a large heel ulcer while hospitalized. He was offered, and refused, right leg amputation. The issues of arterial disease and anatomical location once again make conventional grafts and flaps unworkable, but Integra reliably solves what conventional modalities cannot. A large posterior calcanectomy was performed. The osteotomy and achilles insertion were closed with Integra, seen here as a face on view of the healed reconstruction.

Electrical/flame burn to neck


His toes were also missing from previous vascular problems, but enough foot remained to permit stable weight bearing, stance, and gait. He is seen here, in full upright, weight bearing on the healed foot. This profile view shows the extent of the oblique calcanectomy, which merely followed the contours of skin necrosis.

Fascial excision of chest

For stability, the patient uses a space filling orthotic wrapped around his ankle

INTEGRA® Dermal Regeneration Template

Using a normal sneaker, his left leg prosthesis, and a walker, he is independent and ambulatory. A complex problem was solved with no donor sites, no risk to foot or patient, excellent biological healing, and preservation of function and lifestyle, all as an outpatient. For many of these challenging problems, Integra is an ideal option, working where other modalities of wound management have failed.

INTEGRA® Dermal Regeneration Template

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

 
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