(CS-099) Use of Fish Skin Graft and Negative Pressure Wound Therapy of a Hematoma Induced Calf Wound after a Fall
Peter Lovato, DPM; Rimvydas Statkus, DPM
Introduction: A type 2 diabetic on dialysis fell. He landed on his lateral calf region which sustained a hematoma. This large area was limb threatening and he had a history of a below knee amputation on the contralateral limb.
Methods: He initially under went surgery to drain the hematoma. After this, the overlying tissue necrosed. A surgical debridment down to fascia had to be performed leaving a large deficit. He was at risk of losing his only limb which he needed to transfer. He was obese and would have had to move to a facility if he was not able to transfer on this limb. his high risk patient was healed through diligent use of offloading, negative pressure wound therapy and fish skin grafts, he went on to heal the wound.
Results: Use of fish skin and negative pressure wound therapy was found to be a successful option for a high risk patient with diabetes and on dialysis.
Discussion: Skin substitutes are often thought of for chronic wound use. Even in an acute setting, a high risk patient deserve to receive agressive treament.
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