Abstract
Chronic wound closure is the inability for a wound to progress through the standard wound healing stages and timeframe, often stalling during the inflammatory stage. This paper presents a two-year open wound endured by a Native American patient of geriatric age and uncontrolled type II diabetes based on elevated A1c levels. Multiple therapeutic modalities had been attempted to close the wound, without improvement. Yet, when a minimally processed human amniotic allograft was applied on a weekly basis, wound closure was demonstrated, based on surface area and volume measurement calculations. This case study shows that weekly applications of human amniotic membrane can impact delayed or stalled wound closure by facilitating healing. Thereby, demonstrating the efficacy of human allografts in difficult to heal chronic wounds, in diabetic patients.
Keywords
Chronic wounds, Hemoglobin A1c, Type II diabetes, Ulcer, Wound healing