A collaborative study with Harvard Medical School
POST-TRAUMATIC LEG ULCERS
MaxioCel - 100% Chitosan Wound Dressing on Post-Traumatic Leg Ulcer
Center
Safdarjung hospital, Delhi-India: Dr. Deepak
Patient details: 26 years, Male
Diabetes: No
Nicotine Consumption: Yes
Localized Infection: Yes
Nutritional Status: Malnourished
Co-morbidities: None
Previous Medication: The patient was not taking any medication
Wound History: Patient suffering from Venous Leg Ulcers (in the ankle) for 2 months (Chronic) Ulcers on the ankle measured 5cm X 3cm X 0.5cm(length X width X depth)
Tissue type
Initial Wound Bed Evaluation
| Infection (Local Factors) | Yes | No |
| Exudate | ✓ | |
| Erythema | ✓ | |
| Malodorous | ✓ | |
| Pain | ✓ | |
| Oedema | ✓ |
| Exudate | Dry | Low | Medium | High |
| Levels | ✓ |
| Exudate | Watery | Cloudy | Thick | Purulent | Red |
| Type | ✓ |
Wound before using Maxiocel
Using Maxiocel on the wounds
Wound improvement after 2 weeks
Wound Management Goals
| Parameters | Yes | No |
| Debridement | ✓ | |
| Infection Prevention | ✓ | |
| Exudate Management | ✓ | |
| Optimum Moisture Maintenance | ✓ | |
| Protect granulation tissue / Epithelializing tissue | ✓ |
End Report
| No of MaxioCel dressings done | 4 |
| Frequency of MaxioCel dressings | Twice a week |
| MaxioCel Variant used | 10cm X 10cm |
| Final day wound condition | At the end of 2 weeks, there was epithelization and scar improvement |
Result
| Patient Outcome with Maxiocel | Ease of Application/Removal | Antimicrobial barrier | Wound adherence | Conformability | Wound scar improvement | Pain management |
| Excellent | ✓ | |||||
| Good | ✓ | ✓ | ✓ | ✓ | ✓ | |
| Fair | ||||||
| Poor |
Discussion
- Post-traumatic leg ulcers (TLUs) are defined as open lesions between the knee and ankle joint that occur in the presence of venous disease. They are the most common cause of leg ulcers, accounting for 60-80% of them. The prevalence of TLUs is between 0.18% and 1%. Over the age of 65, the prevalence increases to 4%. On an average 33-60% of these ulcers persist for more than 6 weeks and are therefore referred to as chronic TLUs.*
- Maxiocel is a non-woven microfibre dressing made up of 100% Chitosan, is highly absorbent antimicrobial dressing with pain reduction and scar improvement properties. It can be used for moderate to heavily exuding wounds of varied depth, shape and size.
- Overall, Maxiocel was also found to be an excellent chitosan wound dressing in patients suffering from Venous Leg Ulcers