Case Study 4: Stump Infection

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=88 BGCOLOR="#006699" TEXT="#080000"> <div> carbonics GmbH  -  <FONT SIZE="4" COLOR="#FFFFFF" FACE="Tahoma" >Carbon Wound Dressings</FONT></div> <div> <A HREF="anfang98.htm" TARGET="_top" TITLE="Medical"><U>Medical</U></A>   ·   <A HREF="id153.htm" TARGET="_top" TITLE="Products"><U>Products</U></A>   ·   <A HREF="id154.htm" TARGET="_top" TITLE="Case Studies / Publications"><U>Case Studies / Publications</U></A>   ·   <A HREF="id155.htm" TARGET="_top" TITLE="Contact"><U>Contact</U></A></div> <bR> <div> </div> </td> </tr><tr> <td valign="top" width=20,625% BGCOLOR="#006666" TEXT="#080000"> <bR> <div> <A HREF="id156.htm" TARGET="_top" TITLE="Case Study 1: Lower Leg"><U>Case Study 1: Lower Leg</U></A></div> <div> <A HREF="id157.htm" TARGET="_top" TITLE="Case Study 2: Face"><U>Case Study 2: Face</U></A></div> <div> <A HREF="id158.htm" TARGET="_top" TITLE="Case Study 3: Legs"><U>Case Study 3: Legs</U></A></div> <div> <B><IMG BORDER="0" SRC="Symb075c00b700c8ffffff00.gif" HEIGHT="13" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Case Study 4: Stump Infection</B></div> <div> <A HREF="id172.htm" TARGET="_top" TITLE="Varicose Ulcers"><U>Varicose Ulcers</U></A></div> <div> <A HREF="id160.htm" TARGET="_top" TITLE="Article 1"><U>Article 1</U></A></div> <div> <A HREF="id161.htm" TARGET="_top" TITLE="Article 2"><U>Article 2</U></A></div> <div> <A HREF="id162.htm" TARGET="_top" TITLE="Article 3"><U>Article 3</U></A></div> <bR> </td> <td valign="top" height=392 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> Case Study 4: Stump Infection<FONT SIZE="3" COLOR="#000000" FACE="Tahoma" >                                                          </FONT><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><IMG SRC="179b0210.jpg" border=0 width="176" height="33" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT></div> <bR> <div> <IMG SRC="220fccf0.gif" border=0 width="764" height="207" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="1" COLOR="#000000" FACE="Arial" >In August 1998, a 42-year old patient was transferred to the Elisabeth Hospital in Essen from another vascular surgical clinic. Diagnosis: thrombectomy, explorative trunk exposure that necessitated above the knee amputation, and stump infection. Secondary diagnosis: arterial occlusive disease of the left leg with dry gangrene of toes, insulin-compulsory diabetis mellitus, Adipositas per magna.</FONT></div> <div> Initial findings upon admittance included considerable inflammation and necrotic changes on the above the knee stump.</div> <div> Altogether, 21 dressing changes were performed under anaesthesia necessitated due to strong pain.</div> <div> The first eight dressing changes  were carried out under application of Betaisodona<FONT SIZE="1" COLOR="#000000" FACE="Symbol" >Ò</FONT> solution and compresses. On September 24, 1998, we began </div> <div> treatment with wound dressings Sorusal<FONT SIZE="1" COLOR="#000000" FACE="Symbol" >Ò</FONT> manufactured from carbon fibre fabrics. The existing putrid watery areas were treated with Sorusal<FONT SIZE="1" COLOR="#000000" FACE="Symbol" >Ò</FONT> dressings impregnated with Betaisodona<FONT SIZE="1" COLOR="#000000" FACE="Symbol" >Ò</FONT> solution. This resulted in a macroscopically perceptible cleansing of the wound, with increasing healing tendency.</div> <div> In November 1998, we continued the treatment with the wound dressing Legius<FONT SIZE="1" COLOR="#000000" FACE="Symbol" >Ò</FONT> and Betaisodona solution. The changing of the wound dressings was painless. At this point, in addition to the </div> <div> local treatment, the patient also received antibiotics. Since the rehabilitation process progressed rapidly, the patient was transferred to a nursing home on December 12, 1998.</div> <div> <B>During dressing changes, local anaesthesia was no longer necessary.</B></div> <bR> <div> The local examination of the wound, with an approximate diameter of 25 cm, showed a healthy granulation. The surface of the thigh bone was almost fully covered with granulation tissue and there were no traces of further inflammatory processes </div> <div>  </div> <div> <IMG SRC="208a7710.jpg" border=0 width="167" height="113" ALT="28.08.1998" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> <IMG SRC="209ab710.jpg" border=0 width="171" height="113" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#000000" FACE="Arial" > <IMG SRC="201a6700.jpg" border=0 width="166" height="112" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">  </FONT></div> <div>  08. 28.1998                                            09.25.1998                                                 10.01.1998</div> <bR> <div> <IMG SRC="203a6710.jpg" border=0 width="166" height="113" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> <IMG SRC="205a6710.jpg" border=0 width="166" height="113" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"> <IMG SRC="207a6710.jpg" border=0 width="166" height="113" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div>  10.08.1998                                            10.28.1998                                           04.12.1999</div> <bR> <bR> </td> </tr></table></body>