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allied
academies
Joint Event
February 21-22, 2019 | Paris, France
Microbiology & Applied
Microbiology
2
nd
International Conference on
World Congress on
Wound Care, Tissue Repair
and Regenerative Medicine
&
Journal of Trauma and Critical Care | Volume 3
Multimodal and synergistic approach to treat diabetic foot wound using regenerative medicine
techniques: A case report
Elisabetta Adelaide Baglioni, Parisi Andrea, Agata Russo, Elisa Fassero, Laura Bernocco, Giuseppe Pristerà
and
Maria Alessandra Bocchiotti
University of Turin, Italy
D
iabetic foot wound (DFW) represents a major cause of leg
amputation. Risk factors implicated in DFW developement
are mainly vascular, neuropathic and mechanical. A
multidisciplinary approach is mandatory to treat the wound
and avoid amputation. We present a case of a 57 years man,
affected by peripheral vascular disease and already subjected
to revascularization, with diabetic foot complicated by a
third grade heel wound, a forth grade hallux wound and fifth
metatarsal bone osteomyelitis.
First of all, we have cleaned all the wounds using a surgical
debridement and we have removed the fifth infected
metatarsal bone. The heel wound bed was necrotic and edges
were inactive. Second of all we have made a hydrosurgery
debridement followed by fifteen days of local oxygen therapy
performing a wound bed preparation and reducing tissue
hypoxia. Then we have obtained wound healing reactivation
exploiting the sinergy beetween platelet rich plasma and
autologous adipous micrograft injected into the bed and the
edges of the wound, in addition to another cycle of local oxygen
therapy. In order to guide the healing advanced dressings were
applied. The affected legwas kept fromcarrying bodyweight for
30 days and gradually was helped to carry the body weight by a
specific footwear. The wound size reduced itself by more than
50% after 60 days and healed completly in 120 days, allowing
the affected leg to carry full body weight.
The wound has healed completely thanks to the synergy of a
multidisciplinarywound care teamand throughout the different
regenerative techniques used at the right timing according to
wound healing process.
e:
elisabetta.baglioni@gmail.comJ Trauma Crit Care, Volume 3
DOI: 10.4066/2591-7358-C1-003