50 years old, male, with epilepsy and chronic alcohol abuse; extensive (both lower limbs) full-thickness flame burn. This is one of the most suggestive and difficult cases, because this man had a very deep burn destroying his left knee joint and without LIGASANO® we would have to amputate his left lower limb; instead of this he left the hospital (after 6 month and 8 operations) with his two legs, “completely repaired”.

Fig. 1: Before treatment with LIGASANO® white

Fig. 2: Before treatment with LIGASANO® white

Fig. 3: Before treatment with LIGASANO® white. The pictures 1 – 3 show different aspects of the very deep flame burn destroying skin, subcutaneous tissue, muscles, bones and the knee joint on the left side.

Fig. 4: LIGASANO® white circular dressing (multilayered)

Fig. 5: debridement of all devitalised tissues under LIGASANO® white dressing.

Fig. 6: debridement of all devitalised tissues under LIGASANO® white dressing.

Fig. 7: some different stages of this treatment.

Fig. 8: some different stages of this treatment.

Fig. 9: some different stages of this treatment.

Fig. 10: this natural and non-aggressive debridement continues LIGASANO® white removes only necrotic tissues improving granulation.

Fig. 11: the left knee joint showing a large opening.

Fig. 12: the left knee joint showing a large opening.

Fig. 13: the wound is more and more clean and smaller.

Fig. 14: after external fixation and re-grafting.

Fig. 15: the wound is very clean and ready to accept a new skin graft.

Fig. 16: after several skin grafts and removal of the external fixation.

Fig. 17: the remaining narrow wound healed spontaneously with LIGASANO® white dressing only.