Diabetic lesions of the feet Case23

Practice of Diabetology Carola Zemlin M.D., Wanzleben/Germany

Anamnesis

50 years old, male, type 2 diabetes mellitus, duration 10 years, diabetic polyneuropathy, coronary heart disease. Insulin therapy with two injections of combination insulin 30/70.
Wound healing disorder after amputation of the 2nd and 3rd right toe and metatarsectomy of the 2nd and 3rd right metatarsal bone, 9 days of hospital stay.

Local pre-therapy

Treatment with Rivanol compresses.

Actual findings at 2000/01/17

Smeary coated wound (dimension 9 x 23 mm with a depth of 6 mm) in the resection area. Warm feet, foot pulses good palpapel, classical symptoms of polyneuropathy.

Fig. 1: 2000/01/17

Fig. 2: March 2000

Beginning of the treatment with intense debridement. After this application of a sterile LIGASANO^® white pack, soaked with blood of one´s own resp. Ringer´s solution. Already after two weeks beginning of epithelisation and complete closure in March 2000.

Study about the use of LIGASANO^® white as initial wound dressing at foot disease caused by diabetics, of Carola Zemlin, M.D., internist/diabetologist. For the evaluation of the study please click here.