Dehisced Surgical Wound Post Amputation - Case study

Patient History

Patient is an 88-year-old female (post-BKA) who developed a large blister on the distal end of the stump within the first month post-op. It was treated with Kerlix and standard wound care at a LTCH. Three months later, the wound had a large area of eschar with purulent drainage. Patient taken to O/R for wound revision and primary closure with NPWT applied to the wound area. Wound treated with Restrata  with no NPWT.

Primary Diagnosis

Surgical wound

Treatment & Outcome

Restrata was cut to size and fenestrated with tissue scissors. It was affixed with Streri-Strips and wrapped with a primary gauze dressing and covered by a shrinker sock. A Polymem Silver dressing was used, as needed, to help manage moisture. During follow up visits, areas where Restrata had incorporated were left in place. Any open wound area was debrided and a new piece of Restrata was applied. Standard wound care was tried for more than four months, and the non-healing wound prevented the patient from getting a prosthetic and gaining mobility and independence. The wound was closed using Restrata with four applications over five weeks. The patient fitted for a prosthetic.