Santyl Collagenase (Enzymatic Ointment) – Healthpoint
Description: Santyl Collagenase digests collagen in necrotic tissue and contributes towards the formation of granulation tissue and subsequent epithelization
Indications: debridement for chronic dermal ulcers including pressure ulcers, venous ulcers, arterial ulcers, diabetic foot ulcers, and severely burned areas (Healthpoint, 2007).
Authors notes:
1. Can be used in a wound bed that has a combination of non-viable tissue along with granulation tissue and epithelization.
2. May work better with a moist dressing on top.
3. Can be used with NPWT (as we did with accuzyme)
4. Can be used alternatively with silvadine
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- Daptomycin for the Treatment of Osteomyelitis Associated With a Diabetic Foot UlcerAbstract: This report describes a case of Staphylococcus aureus osteomyelitis associated with a chronic foot ulcer that was successfully treated with surgical debridement and 6 weeks of daptomycin therapy. Daptomycin was chosen because of its excellent activity against the causative organism and the patient’s history of penicillin allergy. Its tolerability a […]
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- Current Concepts In Surgical Offloading Of The Diabetic FootWhen conservative offloading options have failed and patients with diabetes are at risk of limb loss, one might consider surgical offloading for diabetic foot ulcers. These authors offer their experience with operative techniques for offloading ulcers in areas such as the midfoot, first ray and lesser metatarsals. read more
- May 2012A study recently published in the Journal of the American Podiatric Medical Association speculates that equinus may occur more frequently than previously reported in patients with diabetes. read more
- Is Tendon Lengthening The Best Treatment For Diabetic Foot Ulcers?Diabetic neuropathy results in tendon imbalance and decreased protective sensation.1,2 Tendon imbalance, especially Achilles or gastrocnemius-soleus tightness, causes or aggravates most foot problems. read more
- Keys To Intraoperative Positioning For Subtalar Joint ProceduresSubtalar joint arthrodesis and subtalar joint arthroereisis are widely used surgical procedures for eliminating motion or limiting excessive pronation at the subtalar joint.1-3 read more
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Matthew Livingston R.N. C.W.S.
