(CS-008) Traumatic, full thickness leg wound in an adolescent healed by secondary intention using bioresorbable polymeric matrix impregnated with ionic and metallic silver and compression.

Tyler Fedak, LVN – LVN, Scripps Coastal

Introduction: A 16 year old female who sustained a golf cart roll over injury of the right leg resulting in a full thickness defect down to bone.  Patient and parents wanted to avoid a full thickness flap reconstructive surgery.

Methods: The patient was seen weekly in the clinic and the defect/wound was treated each week with debridement followed by bioresorbable polymeric matrix impregnated with ionic and metallic silver as the primary dressing.  The patient was also placed into compression and a CAM boot was used to limit the range of motion due to location of the injury over the tibiotalar joint.

Results: The patient completely healed in 8 weeks and was able to return to her normal activity.

Discussion: Bioresorbable polymeric matrix with ionic and metallic silver is a viable option in full thickness wounds that are down to bone.

Trademarked Items: Microlyte Matrix

References: Manning S, Humphrey D, Shillinglaw W, Crawford E, Pranami G, Agarwal A, Schurr M. Efficacy of a bioresorbable matrix in Healing complex chronic wounds: An open-label prospective pilot study. Wounds. 2020;32(11): 309-318.