51-year-old male with a history of type II diabetes, ischaemic heart disease, diabetic retinopathy, charcot arthropathy right foot, osteomyelitis left fifth tarsometatarsal joint, left ventricular systolic dysfunction on echocardiogram and left upper limb DVT. The patient presented with a burn on the left heel with a blister. The wound measured 45mm x 45mm and was superficial. He was diagnosed with a diabetic foot ulcer and seen weekly for debridement of the ulcer. He was placed on a 10 day course of Flucloxacillin and then a 2 week course of Clindamycin.
Treatment
As the ulcer was not responding, it was packed with STIMULAN beads mixed with antibiotic and a dressing applied. The oral antibiotic was stopped. The wound measured 40mm x 45mm, 17mm depth. After 3 weeks, the wound measured 45mm x 33mm, 7mm depth and was packed with a second application of STIMULAN beads. The ulcer improved weekly and by 3 months had almost healed,measuring 1mm x 1mm.
Outcome
At 4 months, the ulcer had healed and the foot was fully intact. The patient was very happy with the outcome as they feared they were going to lose their foot, but just 2 weeks after the STIMULAN beads were placed in the ulcer they could see a big difference. Note: See STIMULAN page for regulatory statements. MA0445R1
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