Closure of HIV+ Smoker’s 17-Year Chronic Wound

Watch On Demand

This is a case of a 34-year-old male with a 17-year history of a non-healing wound after open reduction and internal fixation of the fibula. The patient was also HIV positive, an enthusiastic smoker and suffering from osteomyelitis.

The surgeon achieved healing 29 days after resection, using:

  • Two applications of an acellular dermal matrix
  • Negative pressure wound therapy
  • A skin graft

Watch the 9-minute video to see how the surgeon’s expectations were exceeded even with exposed bone.

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    Closure of HIV+ Smoker’s 17-Year Chronic Wound

    Watch On Demand

    As Professor and Chief of Plastic and Reconstructive Surgery, and Chief of Staff at University of Mississippi Medical Center, Dr. Peter Arnold sees a lot of patients with chronic, non-healing wounds. At his facility, patients often have limited access to primary care as well as advanced disease states.

    In this case, an orthopedist sent him a 34-year-old male with a 17-year history of a non-healing wound after open reduction and internal fixation of the fibula. The patient was also HIV positive, an enthusiastic smoker and suffering from osteomyelitis.

    Dr. Arnold used two applications of an acellular dermal matrix (ADM), negative pressure wound therapy and skin graft to achieve healing 29 days after resection.

    In this case-specific webinar, Dr. Arnold discusses:

      • His determination to rule out malignancy
      • How he decided between ADM and free flap
      • How his expectations were exceeded even with exposed bone

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