Healing a 10 year Nonhealing Diabetic Foot Ulcer with Bilayered Cell Therapy

A 51 year old female presented on July 8th, 2009 with a nonhealing diabetic foot ulcer that had been present for ten years. Initial wound measurements: 3.2X3.5X1.2 Previous treatments had included gauze, silver, and alginate dressings. The patient was initially treated with an antibiotic and cadexomer iodine to battle infection. Aggressive debridement of the periwound callous was consistantly performed throughout her treatment. When the infection was resolved, a total contact cast was applied to offload the wound bed. On August 19, 2009 a bilayered cell graft was placed onto the wound bed. Wound measurement on application date: 2X1.5 with surface depth. Within one week of placement wound measurements were: 1.8X1.4 and at two week followup 1.1X1.1. Subsequently another bilayer cell graft was placed on 9/16/2009. Wound measurements at this time were 0.3X0.3 with new epithelial tissue present.