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Case Study
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Case series: biosynthesized cellulose* in podiatry for neuropathic ulcerations Barbara J. Aung, DPM, CWS, Aung FootHealth Clinics & Advanced Wound Care Center.Tucson, AZ Neuropathic ulcers can be difficult to treat since the underlying disease cannot be eliminated or even minimized. These ulcers are also difficult to treat when located on the weight bearing surface of the foot, since most patients will continue to ambulate even when activity restrictions have been recommended. Dressings must then protect, absorb, or hydrate the wound, while fitting inside of protective footgear. They should also enhance the physicians efforts at debridement of callous. .A group of patients with neuropathic ulcers seen in our clinic were dressed with an innovative biosynthesized cellulose product. This dressing is made from the bacterium Acetobacter xylinum that expresses a single fibril of cellulose, which in quantity becomes a highly absorbent mesh. The function of the dressing is to create a physiologic blister and an optimal wound environment, thus decreasing debridement time, pain, and time to full granulation while enhancing appropriate moisture levels1. .Positive outcomes were achieved in this difficult-to heal population. This group of patients was taken to near or complete wound closure. Patient and caregiver compliance level was high due to the dressings low maintenence, ease of use, and comfort. We were pleased with the results and will plan to utilize this in all similar situations where ease of use and decreased dressing change frequency is needed. We will continue to utilize this product in similar situations where healing is imperative and compliance is difficult.. .*XCell¨ Wound Dressings, from Medline Industries, Inc..The support of Medline Industries, Inc. is gratefully acknowledged Alvarez O, Patel M, Booker J, Markowitz L. Effectiveness of a biocellulose wound dressing. WOUNDS. 2004:16(7) 224Ð233 Steed, D, Kenshole A, Jude E, Armstrong D, Boulton A. Diabetic Foot Ulcers. In: Krasner D, Rodeheaver G, Sibbald G (eds). Chronic Wound Care, Third Edition. Wayne, Pa: HMP Communications, 2001. |
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