Patient Overview
A 68-year-old male with end-stage renal disease, mixed hyperlipidemia, hypothyroidism, and chronic pain syndrome developed a Stage 3 pressure ulcer on his right heel while self-propelling a wheelchair following aortic valve replacement. He presented on 6/18/25 with an eight-week-old, non-healing ulcer.
Treatment Failure & Intervention
The patient had undergone more than 30 days of standard of care including nutritional support, moist wound dressings, infection management, debridement, and offloading without improvement. Treatment shifted to advanced allograft therapy using DermaBind FM.
Treatment Protocol
The wound was cleansed with Dermal Wound Cleanser, protected with SKIN-PREP, then treated with weekly DermaBind applications secured with contact layers, foam dressings, and heel boot offloading. Dressings transitioned to Collagen Ag+ as healing progressed.
Outcome
The patient received six allograft applications over seven weeks, achieving 100% re-epithelialization documented on 8/15/25. Wound surface area decreased from 18.5 cm² to complete resolution.
- Application #1 (6/23/25): 18.5 cm²
- Application #6 (7/28/25): 1.33 cm²
- Full healing (8/15/25): complete closure
Provider: Willie E. Landrum II, MD, WCC
