PMC5828938_01
Clinical examples of lesions for which the matrix was used.
eplasty18e10_fig2.jpg
PMC5828938_01_eplasty18e10_fig2.jpg
F2
The patient was taken to the operating room (OR) and underwent debridement (Figure 2a) of her wound, including bone and ligaments. eHAM was applied (Figure 2b) in combination with NPWT. After a period of 3 weeks, the top silicone layer of the matrix and the eHAM remnants were removed (Figure 2c). A meshed split-skin autograft was applied (Figure 2d) and was secured with NPWT for 2 weeks. The skin graft showed 100% take, and after 2 weeks, the wound was completely healed (Figure 2e).
PMC5828938_02
Status post disarticulation of the left hip in a 68-year-old female with a history of diabetes. Disarticulation was necessary because of extensive necrotizing fasciitis. The wound shows exposed bone.
eplasty18e10_fig3.jpg
PMC5828938_02_eplasty18e10_fig3.jpg
F3
After receiving surgical debridement, including a toe amputation, and intravenous antibiotic therapy in combination with proper wound care, she was admitted to the LTAC with residual soft-tissue necrosis including the extensor tendons (Figure 3a). The patient was taken to the OR for surgical debridement of her foot including tendons (Figure 3b). eHAM was applied (Figure 3c) over the defect to cover her tendons and combined with NPWT. During the following week, dressing changes were done daily until the wound was completely healed (Figure 3d).