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E-POSTER: CASE STUDY
E-Poster: Case Study
EP 582
OZONE-THERAPY: ADJUVANT TREATMENT IN LIMB SALVAGE IN DIABETIC
PATIENTS WITH UNSUCCESSFUL REVASCULARIZATION. A CASE REPORT
Jesús Alfayate García 1 , Luis de Benito Fernández 1 , Juan Pedro Sánchez Ríos 1 , Miguel
Gutiérrez Baz 1 , Myriam Perera Sabio 1 , Enrique Puras Mallagray 1
1 University Hospital Foundation Alcorcón (Alcorcón (Madrid), Spain).
Aim: To assess the use of ozone-therapy as an adjunct treatment of diabetic foot
ulceration in Diabetic Foot Unit.
Methods: An 80 years-old male with chronic critical limb ischemia and infrapopliteal
arterial occlusion presented in the office with a Texas 3D ulcer of his first right toe, of
over 12 weeks duration. Cultures were positive for Morganella Morganii and
Escherichae Coli. A short popliteal-peroneal venous bypass was constructed after failed
endovascular recanalization of the tibioperoneal trunk. Toe amputation was also
performed. After two additional failed PTA of the distal peroneal artery, due to
unsatisfactory course, multiple surgical debridement with 2nd toe amputation and
standard local wound care, the patient was offered to be included in our ozone-therapy
protocol. Local ozone plus autohemotherapy was administered in predetermined
sessions.
Results: Complete wound healing was obtained 12 weeks after administration of ozone
therapy. No local or systemic complications were observed. During this period the
venous bypass has maintained patency.
Conclusions: This case shows the result obtained after ozone therapy, as an adjuvant
treatment, in an infected diabetic foot with incomplete revascularization after repeated
endovascular and open procedures, surgical debridement and state of the art local
wound care.
E-Poster: Case Study
WITHDRAWN
EP 583
EWMA 2013
COPENHAGEN
15-17 May · 2013
Danish Wound
Healing Society
327