Low Energy Ultrasound For Treatment of Traumatic Agranular Wounds

Traumatic wounds may encompass a broad spectrum of injury.  Traumatic wounds may be as simple as a minor skin tear, or as complex as a gunshot wound.  The treatment of traumatic wounds is variable as well.  One approach to traumatic wounds may involve the use of ultrasound to promote cellular stimulation while removing bacteria and devitalized tissue from the wound.  This abstract is a review of cases of several types of traumatic wounds, with ensuing use of  low energy ultrasound-generated mist treatment.  All wounds were treated with the low energy ultrasound-generated mist treatments (LEUSM) three times per week, generally on Monday, Wednesday, and Fridays. 

Cases to be profiled include:

KH is a 90 year old man who presented with a tangerine sized hematoma on the left lower leg.  The hematoma was removed with scalpel, leaving an agranular The LEUSM was used for 42 days with success. 

SH is an 89 year old female who suffered a fall with a resultant leg wound.  She initially presented with a fulminant cellulitis and an agranular wound bed.  The LEUSM was implemented, and was used for 64 days with success. 

LW is a 71 year old male who fell through a roof, and got a leg wound.  This treatment was used for 38 days, and the wound was entirely closed within 3 weeks of LEUSM cessation.

JD was injured in a fall while in Europe on vacation.  When he presented to clinic, the wound was 2 months old.  The LEUSM was used for 29 days, with success.

            LEUSM is a great modality to stimulate granulation in agranular wounds.  These case examples indicate that it's clinical usefulness is relevant to cutting edge wound care practice.