Medicina · 4 authors, 2 centres
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This case report describes a 58-year-old woman with a severe, post-surgical diabetic foot ulcer at high risk of transtibial amputation. Treatment with a novel wound environment control system (Vistacare®) successfully promoted wound healing, allowing the patient to avoid major amputation.
This is a single-patient case report. A 58-year-old woman with a history of complicated diabetes was admitted for a large, infected diabetic foot ulcer after multiple foot amputations, failing standard therapies including negative pressure wound treatment. The patient was treated with the Vistacare® device, a closed system that controls wound moisture, temperature, and oxygen. Initial treatment focused on debridement (set A), followed by a combination of debridement and granulation stimulation (sets A and B). After 2 weeks of therapy, healthy granulation tissue was observed, and the wound later healed completely with a skin graft. The patient avoided a transtibial amputation and was ambulatory with therapeutic shoes. The findings suggest this device may be a complementary option for severe diabetic foot ulcers when standard care is insufficient, but further studies are needed.
