PMC5932957_01
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.
eplasty18e17_fig2.jpg
PMC5932957_02_eplasty18e17_fig2.jpg
F2
During the following week, dressing changes were done daily until the wound was completely healed (Fig 3d shows the wound 2 weeks postgrafting).
PMC5932957_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.
eplasty18e17_fig2.jpg
PMC5932957_02_eplasty18e17_fig2.jpg
F2
During the following week, dressing changes were done daily until the wound was completely healed (Fig 3d shows the wound 2 weeks postgrafting).
A 58-year-old woman with a necrotizing soft-tissue infection of her left foot and advanced osteomyelitis of her left middle toe.
eplasty18e17_fig3.jpg
PMC5932957_02_eplasty18e17_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 hospital with residual soft tissue necrosis including the extensor tendons (Fig 3a). The patient was taken to the OR for surgical debridement of her foot including tendons (Fig 3b). eHAM was applied (Fig 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 (Fig 3d shows the wound 2 weeks postgrafting).