tIntroduction
This case study illustrates the use of ACTICOAT^◊ on a traumatic lesion.

Patient
The patient was an 11 year old boy with an infected open tibia fracture. The trauma was the result of being run over by an ambulance and infection of the wound had occurred (Fig. 1).

Treatment
Aggressive surgical debridement of the wound was carried out, exposing 15cm of the tibia (Fig. 2). The wound was then covered with a skin substitute/dermal regenerator and moistened ACTICOAT^◊ applied (Fig. 3). Gauze and a multi-perforated catheter were employed to keep the ACTICOAT^◊ moist (Fig. 4). Dressing changes occurred every four days on an outpatient basis for a total of five weeks.

Outcome
After five weeks of using ACTICOAT^◊, there were no signs of infection and the wound had almost completely closed.

Fig1	Fig 2
Fig 3	Fig 4
Fig 5	Fig 6

^™SILCRYST is a trademark of NUCRYST Pharmaceuticals Corp, used under license.