Case 1. Full-thickness burns covering approximately 54% TBSA Patient Male, 25. Major Roy Danks, United States Army Reserve

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1 CASE STUDIES

2 Traumatic wounds

3 Case 1 Diagnosis Full-thickness burns covering approximately 54% TBSA Patient Male, 25 Location Whole body Surgeon Major Roy Danks, United States Army Reserve Micrografting Two weeks post grafting Six weeks post grafting J Burn Care Res. 2010;31: 665-9

Case 2 Diagnosis Avulsion injury Patient Male, 24 Location Right lower leg Surgeon Surajit Bhattacharya, Lucknow, India (a) Manually minced split thickness grafts, (b)

4 Case 2 Diagnosis Avulsion injury Patient Male, 24 Location Right lower leg Surgeon Surajit Bhattacharya, Lucknow, India (a) Manually minced split thickness grafts, (b) Grafts applied over the wound as paste, (c) Random spread without dermal orientation (d) Fully epithelialized wound. Indian Journal of Plastic Surgery, 2016; 49 (1): 5-15

5 Case 3 Diagnosis Traumatic ulcer (6 cm x 8 cm) Patient Female, 85 Location Pretibial Surgeon Tor Svensjö, Department of Plastic Surgery, Malmö University Hospital, Sweden Eplasty. 2016;16: e14

6 Case 4 Diagnosis 90 % TBSA full-thickness burn Patient Male, 25 Location Chest, right knee and leg Surgeon Jason Brown MD, Royal Brisbane and Women s hospital, Australia Chest Right knee Right leg Micrografting Three weeks post grafting Chest Micrograft/ allograft 4:1 mesh/ allograft Right knee Right leg

7 Case 5 Diagnosis Excised metastatic melanoma after conventional skin grafting Patient Female, 92 Location Groin Surgeon Tor Svensjö, Department of Plastic Surgery, Malmö University Hospital, Sweden Pre-grafting Micrografting Five weeks post grafting

8 Case 6 Age Traumatic wound (22 cm x 5 cm) with failed conservative therapy for 6 months Patient Female, 92 Location Lower leg ulcer Surgeon Jean Paul Pm de Vries, St. Antonious hospital, The Netherlands Debridement Micrografting Day 24 post grafting

9 Case 7 Diagnosis Scald burn Patient Female, 38 Location Dorsum of foot Surgeon Debora Cristina Sanches Pinto, Sao Paulo, Brazil Micrografting Day 15 post grafting Day 49 post grafting

10 Case 8 Diagnosis Traumatic wound (8 cm x 4 cm) Patient Male, 19 Location Right anterior forearm Surgeon Michael Neumeister MD, Southern Illinois University, IL Debridement Day 14 post grafting Day 21 post grafting Day 32 post grafting

11 Case 9 Diagnosis Train accident, open amputations both, proximal thighs Sex Female, 38 Location Legs Surgeon Lucie Lessard, McGill University, Canada Pre-grafting 2 weeks post grafting 6 weeks post grafting

12 Case 10 Diagnosis Open foot wound post amputation Sex Male, 61 Location Gangrene of the right foot Surgeon Thomas M. Rocchio, DPM, Allentown, Pennsylvania One week Four weeks Four months

13 Diabetic, venous and pressure ulcers

Case 11 Diagnosis Diabetes, peripheral arterial

14 Case 11 Diagnosis Diabetes, peripheral arterial disease, neuropathy, osteomyelitis, diabetic foot ulcer (4 cm x 2 cm) Patient Female, 58 Location Foot Surgeon Robert d. Santrock, MD; William c. James, III, MD. Midlands orthopaedics, columbia, SC, USA Pre-grafting Two weeks Three weeks Four weeks

Case 12 Diagnosis Sex Female, 58 Location Surgeon

failure, open wound after below knee amputation (9 cm

Santrock, MD; William c. James, III, MD.

15 Case 12 Diagnosis Sex Female, 58 Location Surgeon Diabetes with peripheral arterial disease, renal failure, open wound after below knee amputation (9 cm x 3 cm) Lower leg (below the knee) Robert d. Santrock, MD; William c. James, III, MD. Midlands orthopaedics, Columbia, SC, USA Pre-grafting Two weeks Three weeks Four weeks

16 Case 13 Diagnosis Chronic diabetic foot ulcer with osteomyelitis Patient Female, 57 Location Medial metatarsal Surgeon Thanh Dinh, Beth Israel Deaconess Medical Center, Boston, MA Pre-grafting Ten days post grafting Four weeks post grafting

17 Case 14 Diagnosis Leg ulcer, Skin necrosis, Secondary post traumatic hematoma Patient Female, 77 Location Pretibial Surgeon Martin Winkler MD Micrografting Two weeks post grafting Three weeks post grafting Today s Wound Clinic; 2014, 8 (3)

18 Case 15 Diagnosis Patient Female, 84 Location Surgeon Chronic venous ulcer with squamous cell carcinoma, 7.5 cm x 5.0 full-thickness wound secondary to Mohs surgery Ankle Daphne Denham MD, Comprehensive Wound Care, Northbrook, IL Four days post grafting Five weeks post grafting Ostomy Wound Management; 2015, 61 (4)

19 Case 16 Diagnosis Patient Female, 89 Location Surgeon Chronic venous ulcer with squamous cell carcinoma, 4.0 cm x 3.5 cm full-thickness wound secondary to Mohs surgery Pretibial Daphne Denham MD, Comprehensive Wound Care, Northbrook, IL Micrografting Ostomy Wound Management; 2015, 61 (4)

Case 17 Diagnosis Venous ulcer (11 cm x 8 cm)

Hospital, Sweden Pre-grafting Day 10 Day 24 Day

20 Case 17 Diagnosis Venous ulcer (11 cm x 8 cm) Patient Female, 54 Diagnosis Pretibial Location Chronic venous leg ulcer Surgeon Tor Svensjö, Department of Plastic Surgery, Malmö University Hospital, Sweden Pre-grafting Day 10 Day 24 Day 45 Five months Eplasty. 2016;16: e14 post grafting

21 Case 18 Diagnosis Post traumatic ulcer (11 cm x 3 cm) with failed conservative therapy Patient Male, 90 Location Pretibial Surgeon Jean Paul Pm de Vries, St. Antonious hospital, The Netherlands Debridement Micrografting Day 24 post grafting

22 Case 19 Diagnosis Mixed arterial venous ulcer in a patient with cardiac disease Patient Male, 78 Location Lower leg Surgeon Brock A. Liden, DPM, Reynoldsburg Podiatry Center, Reynoldsburg, OH Micrografting 13 weeks 19 weeks 24 weeks

23 Case 20 Diagnosis Paraplegia, multiple pressure ulcers, osteomyelitis Patient Male, 57 Location Right foot Surgeon Thomas M. Rocchio, DPM, Allentown, Pennsylvania Lateral wound Medial wound Lateral wound Medial wound Micrografting One week post grafting Ten months post grafting

PUT YOUR BEST FOOT FORWARD

PUT YOUR BEST FOOT FORWARD Bala Ramanan, MBBS 1 st year vascular surgery fellow Introduction The epidemic of diabetes and ageing of our population ensures critical limb ischemia will continue to grow.