Practice of Diabetology Carola Zemlin M.D., Wanzleben/Germany
54 years old, male, type 2 diabetes mellitus, diabetes diagnosis 1992, insulin therapy with 2x combination insulin. Coronary heart disease, silent myocardial infarction, arterial hypertension, arterial occlusive disease and concomitant neuropathy, adiposity, state after amputation of the right toe (4) and partial metatarsectomy (4+5) right, chronic osteomyelitis with wound healing disorder for two years. Before long and unsuccessful inpatient treatment in a non-specialised surgical clinic.
First visit in our ambulance in May 1998, referral in a specialised surgical clinic for diabetic feet to resect the osteomyelitic metatarsal bones once more. Discharge with clean and still gaped wounds in our ambulant treatment.
Actual findings at 1999/02/23
Wound with a dimension of 70 x 6 mm and 3 mm depth at the right foot dorso-lateral after metatarsectomy and under it a small lesion of 10 x 4 mm.
Fig. 1: 1999/02/23
Fig. 2: Wound closure after four weeks
After debridement and refreshening of the wound edges application of sterile LIGASANO® white. Wound closure after four weeks of treatment. Ensuing supply with orthopedic footwear.
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.