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ACTICOAT◊ 7 (with SILCRYST(TM) Nanocrystals) and the management of an infected thigh stump

Introduction
This case study illustrates the use of ACTICOAT◊ 7 in the management of an infected open thigh stump in a diabetic patient.

Patient
The patient was a 45 year old male with peripheral arterial occlusion, who had undergone amputation to both lower legs. The right leg had been further amputated up to the thigh and the wound was now infected and was failing to heal (Fig. 1 and 2). In addition, massive fat necrosis had occurred. The patient was also a diabetic and a smoker of approximately 60 cigarettes per day.

Treatment
Surgical debridement of the wound was carried out to remove necrotic tissue. The wound was then dressed with moistened ACTICOAT◊ 7, on top of which a cavity dressing was placed (Fig.3) and the patient’s diabetes was controlled appropriately.

Outcome
Closure was achieved in 7 weeks (Fig.4).

Acticoat infected thigh stump 1 Acticoat infected thigh stump 2
FIg 1 Fig 2
Acticoat infected thigh stump 3 Acticoat infected thigh stump 4
Fig 3 Fig 4

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

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