Clinical Case Reports

WARNING: GRAPHIC CLINICAL IMAGES

CASE 1C
Male, Age 62
History: Diabetes mellitus, type 2; Peripheral artery disease; Infected diabetic foot ulcer; Osteomyelitis; Partial excision of the 5th metatarsal head extending to the bone
Treatment: Treated with WINVIVO Wound Ointment; Dressing changed daily
Complete wound closure after 10 weeks

Foot with open wound on big toe. The wound has red tissue and a yellow-white border.
Foot with a deep, red ulcer on the ball, with slight discoloration; week 2 of treatment.
Foot with an open sore on the toe, showing redness and potential tissue damage; the image has a week 5 caption.

CASE 2C

Female, Age 74
History: PVD, chronic venous insufficiency; Diabetes mellitus, type 2; Nephrosclerosis; s/p Kidney transplant; 9-month traumatic painful wound
Treatment: Treated with WINVIVO Wound Ointment; Dressing changed daily

Foot with deep, open ulcer. Skin is swollen and discolored. The ulcer is reddish with exposed tissue.
Foot with a deep, open wound, swollen toes, and discoloration.
Wound on leg, Week 4. The open sore is reddish-brown with surrounding pale skin.
Foot with swollen toes, discolored nails, and signs of skin breakdown; labeled

CASE 3C

Male, Age 60
History: PVD, ABI <0.7, chronic venous insufficiency; Arterial hypertension; Hepatitis C; History of (L) ankle trauma and poorly healing wound for 2 years; (R) ankle trauma recently; Planned weekly appoinntments with Unna Boot changes but patient missed ~50% of the time|
Treatment: Treated with WINVIVO Wound Ointment w/ adaptic gauze to wound; Dressing changed weekly

Close-up of a wound on skin, with ruler for scale. Wound is open, bloody, surrounded by inflamed, discolored skin.
Foot with a deep, open wound and a ruler for scale. The wound has exposed tissue with a yellow edge.
Hand with a healing wound, ruler, and bandage; week 7.

CASE 4C

Female, Age 59
History: Poorly controlled diabetes mellitus, type 2; Arterial hypertension; Chronic venous insufficiency (CVI); History of venous stasis dermatitis, cellulitis and septicemia; Developed lower extremity ulcers 5 years ago; Failed Silverlon and Unna boot treatment
Treatment: Treated with WINVIVO Wound Ointment; Dressing changed weekly w/ compression (Unna Boot)

Foot with open wound, red tissue, and exposed bone; labeled
Foot with an open wound, Week 2. Skin is torn, revealing red flesh.
Foot with a wound on the toe, appears to be healing. Text reads

CASE 5C

Male, Age 54
History: Atherosclerosis; Coronary heart disease; Arterial hypertension; Heavy smoker
Treatment: Surgical debridement; Treated with WINVIVO Wound Ointment; Dressing changed daily
Complete wound closure after 14 weeks

Heel ulcer, open wound. Brown skin with a deep, red sore. Week 0.
Foot with a deep, open wound on the heel, surrounded by discolored skin.
Heel with severely damaged skin, possibly a pressure ulcer, displaying dark discoloration.
Foot with a large, open wound, wrapped in clear dressing; labeled

CASE 6C

Male, Age 67
History: PVD, venous insufficiency; s/p liver transplant; s/p kidney transplant; Non-healing wound for over 6 months post amputation of the 2nd, 3rd and 4th toes
Treatment: Treated with WINVIVO Wound Ointment; Dressing changed daily
Complete wound closure after 12 weeks

Foot with a large, open wound; measured as 120 mm x 70 mm. The wound is red and brown, and healing progress is at
A close-up of a foot with a deep, open wound. Red, raw tissue visible. “Week 9” is in a green bar below.
Foot with open ulcer, red tissue, yellow and dry skin, stage 15.
Heel with a large, open sore, showing signs of tissue damage. The surrounding skin is discolored.

CASE 7C

Female, Age 66
History: Diabetes mellitus, type 2; Peripheral artery disease; Failed (clotted) lower extremity bypass due to severe end-stage limb threatening ischemia; Several surgical debridements; Transmetatarsal amputation; Second lower extremity bypass; Lisfranc amputation
Treatment: Treated with WINVIVO Wound Ointment; Dressing changed daily
Complete wound closure after 18 weeks

Heel ulcer, open wound. Brown skin with a deep, red sore. Week 0.
Foot with a large, open wound, wrapped in clear dressing; labeled
Heel with severely damaged skin, possibly a pressure ulcer, displaying dark discoloration.
Foot with a deep, open wound on the heel, surrounded by discolored skin.