Impact of a novel synthetic nanofibre matrix to treat hard-to-heal wounds.

Objective: Complex hard-to-heal wounds are difficult to manage, generating significant expense to the US healthcare system, costing nearly $25 billion annually. Recently, a resorbable synthetic nanofibre matrix was trialled on a variety of complex hard-to-heal wounds at Astria Sunnyside Hospital to assess clinical efficacy.

Method: In this case series, five patients with multiple comorbidities presented in both the inpatient and outpatient setting with various hard-to-heal refractory wounds, including a venous leg ulcer (n=1), a diabetic foot ulcer (n=1), a Charcot foot deformity (n=1) and pressure ulcers (n=2).

Treatment of a Complex Pressure Ulcer Using a Synthetic Hybrid-Scale Fiber Matrix.

Pressure ulcers are caused by sustained pressure, friction, or shear on the skin which limits blood flow to the dermis and surrounding tissue. Symptoms include redness and ulceration and may result in a chronic wound. This ailment affects three million adults in the United States, and is a major burden to the healthcare system.

Longitudinal versus transverse hip arthroscopy portal cosmesis: a case-control trial of simultaneous bilateral cases.

The direction and nature of incisions can impact the healing and appearance of a surgical scar. This can be attributed mainly due to skin tension and direction of force. The aim of this study was to identify differences in healing rates and scar esthetics between transverse and longitudinal portals used for hip arthroscopy.

Low complication rate associated with raising mature flap for tibial nonunion reconstruction.

Background: Tibia fractures may require soft tissue coverage with transposed tissue and can develop nonunions. Tibial defects can be approached with a posterolateral approach or by elevating the previously transposed tissue. No literature has previously reported the efficacy or safety of the latter approach.

Wound care in the 21st century: lessons from ancient Egypt.

Wound care is becoming increasingly important to geriatricians and long-term care providers. Although pressure ulcers have recently taken the spotlight, wound care actually involves many other types of lesions found commonly in the nursing home environment. Physicians of ancient Egypt were experts in the art and science of healing wounds, as revealed by examination of the Smith Papyrus, one of the oldest medical texts in existence.