HX of alcohol abuse, CHF, Coumadin therapy

Patient went through windshield in car accident and landed on asphalt - Broken bones, contusions, requiring extended hospitalization - De-gloved left hand with tendon involvement

Wound cleansed prior to DermaFill application

• Patient refused to have ring removed

Day 4

• Dressing in place and ring became loose, in fact wiggling in place
• Patient continued to state hand was free of pain

Day 7

• Dressing removed by staff fearing underlying exudate was infection
• Wound revealed lack of signs and symptoms of infection and presented with a clean granular wound bed

Day 9

• Dressing replaced x 48 hours
• Note: Plasma and other bioactive agents accumulate under dressing

Day 12

• The dressing is re-sealed and clear, allowing an unobstructed view of the healing process
• Note: return of veins

4 week follow-up

• DermaFill still clear allowing staff to chart progress
• As the wound heals and contracts, the dressing liberates itself

11 week follow-up

• Patient states last of dressing fell off three weeks earlier