Case Series/Study

(CS-133) Adjunctive use of Cryopreserved Umbilical Amnion in the Successful Management of Post-Traumatic, Complex Wounds

Co-Author(s):

Introduction: Traumatic wounds are a relatively serious and common problem, representing ~5% of all visits to the emergency department. These wounds are extraordinary difficult to manage if they are complex with exposed bone, muscle, or tendon. Herein, we report the outcomes of patients with post-traumatic, complex wounds that were successfully managed with adjunctive umbilical cord (UC).

Methods: A retrospective review was performed of patients with post-traumatic, complex wounds that were treated with adjunctive UC between August and October 2021 treated by the presenting author.

Results:

Four cases met the criteria:

Case 1: 54-year-old male suffered a grade IIIA open pilon fracture. 8x3cm UC placed with adjunctive VAC for 3 days and wound healed by 4 months.

Case 2: 22-year-old male suffered a left Grade IIIB open olecranon fracture. 4x3cm UC placed and would healed within 8 weeks.

Case 3: 67-year-old diabetic male suffered hallux wound with exposed bone and gangrene. At 4 and 8 days, 8x3cm UC placed and wound closed by 6 months.

Case 4: 25-year-old male suffered Grade IIIB open tibia fracture and 8x3cm UC applied. Complete wound closure within 3 months.

Discussion: Adjunctive use of AMUC in the management of post-traumatic, complex wounds was able to promote complete wound closure, prevent infection, and facilitate functional and aesthetic recovery.

Trademarked Items: Neox 1K (Biotissue, Miami, FL)

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