Day 1

• Wound from horse trailer injury
• Ischemic wound
• ABI 40% TCPO2 25 C & S mixed culture
• Patient treated X 3 weeks prior to being seen at wound center unsuccessfully

Day 15

• Patient received serial debridements
• Culture specific antibiotics
• Wound was dressed with silver dressing for 21 days prior to DermaFill application
• Pain 8 on scale of 10

Day 21

• DermaFill applied on Day 21 following wound bed preparation
• Patient noted immediate pain relief with pain scale 0 out of 10 following placement of DermaFill

Day 8

• Patient showering with DermaFill in place over wound
• Single application and pain free since dressing application

Loss to follow-up

• Patient unemployed and uninsured and lived 90 minutes from center
• Patient was reached by phone several months later and he reported he was healed