Gangrene

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Distal Tibial and Dorsal Foot


Plaster of Paris applied too tight. Plan: Dorsalis Pedis artery compromised also extensive Gangrene that was debrided. Platelet Rich Plasma (PRP), low-intensity laser treatment with Legius and Sorusal treatment.

Gangrene

Arrival


Gangrene on left lower leg (POP- plaster of paris) wound debridedd. Dead & necrotic tissue was removed. Legius was applied.

Gangrene

Day 1


NuGel was applied to exposed bone & Jelonet was used to cover the exposed tendon. Legius was applied, and wound covered with light cotton & crepe bandage.

Gangrene

Day 4


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and the wound covered with light cotton & crepe bandage.

Gangrene

Day 8


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and the wound covered with light cotton & crepe bandage.

Gangrene

Day 15


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and the wound covered with light cotton & crepe bandage.

Gangrene

Day 16


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and the wound covered with light cotton & crepe bandage

Gangrene

Day 17


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and the wound covered with light cotton & crepe bandage.

Gangrene

Day 19


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and the wound covered with light cotton & crepe bandage.

Calcaneal Region


Plaster of Paris applied too tightly.

Gangrene

Arrival


Gangrene on left lower leg (POP- plaster of paris) wound debrided. Dead & necrotic tissue was removed. Legius was applied.

Gangrene

Day 1


All exposed bone & tendons were covered with NuGel & Jelonet. Legius was put on top & covered with cotton wool bandage and lightly wrapped with crepe bandage.

Gangrene

Day 3


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and wound covered with light cotton & crepe bandage.

Gangrene

Day 8


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and wound covered with light cotton & crepe bandage.

Gangrene

Day 15


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and wound covered with light cotton & crepe bandage.

Gangrene

Day 16


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and wound covered with light cotton & crepe bandage.

Gangrene

Day 17


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and wound covered with light cotton & crepe bandage.

Gangrene

Day 19


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and wound covered with light cotton & crepe bandage.

Gangrene

Day 22


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and wound covered with light cotton & crepe bandage.

Gangrene

Day 23


NuGel was applied to exposed bone and the tendon was covered with Jelonet. Legius was applied, and wound covered with light cotton & crepe bandage.

Gangrene

Day 25


NuGel was applied to exposed bone and tendon covered with Jelonet. Legius was applied, and wound covered with light cotton & crepe bandage.

Gangrene

Day 60


Very good granulation of the wound. Legius was applied.

Gangrene

Day 80


Wound Closed and healed.

Plantar Region


Plaster of Paris applied too tightly.

Gangrene

Arrival


Debrided gangrenous areas in plantar region. Wounds were plugged with Legius.

Gangrene

Day 3


Legius was re-applied.

Gangrene

Day 5


Good granulation, wound was inspected for infection. Legius applied.

Gangrene

Day 15


Good granulation, wound was inspected for infection. Legius applied.

Gangrene

Day 16


Good granulation, wound was inspected for infection. Legius applied.

Gangrene

Day 17


Good granulation, wound was inspected for infection. Legius applied.

Gangrene

Day 19


Good granulation, wound was inspected for infection. Legius applied.

Gangrene

Day 22


Good granulation, wound was inspected for infection. Legius applied.

Gangrene

Day 23


Good granulation, wound was inspected for infection. Legius applied.

Gangrene

Day 25


Good granulation, wound was inspected for infection. Legius applied.

Gangrene

Day 55


Dressing stopped, Wound is healed.

Gangrene

Day 60


Very good granulation of wound. Legius was applied.

Gangrene

Day 80


Wound closed and healed.

Necrotizing Fasciitis


Diabetic patient presented with Necrotizing Fasciitis. Sandwich Dressing: Legius on wound surface and Sorusal on top.

Necrotizing Fasciitis


Gunshot wound. No arrival photo, photo's start from day 3. Dressing was changed twice a day with Sandwich dressing. (Legius & Sorusal) Sandwich Dressing: Legius on wound surface and Sorusal on top of Legius.