Clinical history
71-year-old male with a history of coeliac disease, type 2 diabetes, neuropathy, retinopathy, ischemic heart disease and peripheral vascular disease.
He had previously undergone a left hallux partial amputation and an amputation of the right hallux the following year. Although the wound got smaller, the foot was red, swollen and very painful. The decision was taken by the MDT to try STIMULAN.
Treatment
The patient developed a sinus 2cm deep after the right hallux amputation. The wound was investigated with forceps and a piece of stitch was removed. STIMULAN beads mixed with antibiotic
were applied one by one with forceps. The patient initially found this uncomfortable but after 1 week the pain and redness had reduced. The beads were held in place with dressings and a conforming bandage.
After 2 weeks, due to a reaction with the initial dressing, a non adherent dressing was applied. At 5 weeks, the patient received a further application of STIMULAN.
Outcome
At 3 months, the wound had healed. The patient remains pain free and ulcer free, and was very happy that further surgery was not required.
Note: See STIMULAN page for regulatory statements. MA0458R1
