Practice of Diabetology Carola Zemlin M.D., Wanzleben/Germany
Anamnesis
49 years old, male, type 2 diabetes mellitus, diabetes diagnosis 1975, treatment with oral antidiabetic agent. Diabetic retino-, neuro- and nephropathy (dialysis needed), coronary heart disease, arterial hypertension. State after amputation of the right forefoot, recurrent plantar ulcers of the feet at diabetic neuropathic osteo-arthropathy (Charcot feet). Because of this ulcers 6 month of hospital stay. Pre-treatment with Betaisodona and Rivanol.
Actual findings at 1998/12/14
Perforating ulcer of the left foot, plantar 12 x 14 mm with a depth of 5 mm.
Fig. 1: 1998/12/14
Fig. 2: Progress
Fig. 3: Complete wound closure
For wound therapy application of a sterile LIGASANO® white pack, soaked with Ringer´s solution. For stabilisation and pressure distribution supply with a cast adapted to neuropathy. Wound closure under therapy with LIGASANO® white within 36 days resp. 4 month.
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.