Author: Fred Kahn MD, FRCS (C)
Source: Meditech International Inc.
Diagnosis:
Infected Dermal Ulcers Secondary to Periphero-Arterial Occlusive Disease History
- Patient first noticed ulcer March 2006
- Previous treatments prior to initiating LILT at Meditech Clinic include:
- daily dressings
- antibiotics
- analgesics
- topical ointments
- hyperbaric chamber
- angioplasty
- Patient incapacitated
- Life revolved around treatments
- Pervasive odour from infection
Physical Examination
- Dermal ulcers noted almost circumscribing the entire lower tibia, extending from epidermis to periosteum
- Severe infection
- Fragments of dressing incorporated in base of ulcer
- No arterial pulses distal to popliteal which was approximately 1+
Treatment at Meditech Rehabilitation Clinic
- Removal of dressings
- Discontinuation of all drugs, except analgesics p.r.n.
- Cleansing of wound with dilute H2O2 qid
- Saline compresses during night
- Laser therapy q2d
Most Recent Status
- Patient totally active
- Wounds left open
- Patient asymptomatic
- Requires no medications
- No odour
- Progressive healing
Prognosis
- Patient lives over 2 hours away from clinic, therefore a Home System was provided for daily use and will be re-evaluated in 3 weeks
- With progress demonstrated, anticipate complete healing within a month
Figures
- Fig. I to III – Initial status
- Fig. IV to VI – Intermediate stage
- Fig. VII to IX – Most recent results
Close-up:
- Fig. X to XII – Initial status
- Fig. XIII to XV – Intermediate stage
- Fig. XVI to XIII – Most recent results
