68-year-old female with a history of type 2 diabetes, neuropathy, peripheral arterial disease (PAD), angioplasty, renal dialysis and bilateral charcot arthropathy. She has been a wheelchair user for the previous 2 years. The patient presented with an ulcer, infection (cellulitis) and necrosis. She had an antibiotic intolerance which caused severe gastric disturbance. After being treated for several months in the MDT clinic this ulcer was progressing very slowly. The MDT decision was made to start using STIMULAN. The patient was off loaded in a total contact cast.
Treatment
STIMULAN mixed with antibiotic was packed into the wound and covered with non-adherent dressing. The dressing was checked weekly and the cast changed. The dressing was also changed every 2 weeks. The patient was delighted that she wasn’t required to take further oral antibiotics.
Outcome
At 12 weeks, the wound had healed and the patient was pain and infection free, and has successfully rehabilitated into surgical footwear. Note: See STIMULAN page for regulatory statements. MA0457R1
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