Catholic Health System, St. Catherine of Siena Hospital, Westbury, NY, US.
ProgenaCare Global, LLC, Marietta, GA, US.
J Wound Care. 2024 Nov 2;33(11):842-848. doi: 10.12968/jowc.2024.0248. Epub 2024 Oct 25.
Venous leg ulcers (VLUs) are often large and complicated wounds that, despite combinations of advanced wound care techniques and systemic treatment of underlying vascular issues, take many months to heal and have high rates of recurrence. In this study, we investigated the efficacy of a novel wound care solution-human keratin matrix (HKM).
A case series of VLUs were treated with HKM in conjunction with indicated vascular intervention and standard of care (SoC) procedures. For analysis, these wounds were divided into very large (>200 cm) and smaller (<35 cm) wounds.
The cohort comprised 16 VLUs (very large=7; smaller=9). Very large VLUs were reduced in size by an average of 71% within 10 weeks, and showed a 50% size reduction within four applications of HKM. Smaller VLUs reduced by 50% in size within the first three weeks of treatment, and 88.9% of these wounds healed completely with an average of 4.5 HKM applications over an average of 6.5 weeks.
The results of this series highlight the potential of HKM, in combination with indicated systemic interventions and SoC, as an effective treatment for hard-to-heal (chronic) VLUs, even in very large wounds.
静脉性腿部溃疡(venous leg ulcers,VLUs)通常是较大且复杂的伤口,尽管采用了先进的伤口护理技术和血管问题的全身性治疗,但仍需要数月时间才能愈合,且复发率较高。在本研究中,我们研究了新型伤口护理解决方案——人角质形成细胞基质(human keratin matrix,HKM)的疗效。
采用 HKM 联合血管介入和标准护理(standard of care,SoC)程序治疗 VLUs 病例系列。为了进行分析,这些伤口分为非常大(>200cm)和较小(<35cm)伤口。
队列包括 16 个 VLUs(非常大=7;较小=9)。非常大的 VLUs 在 10 周内平均缩小 71%,并且在 HKM 的前 4 次应用中显示出 50%的缩小。较小的 VLUs 在治疗的前 3 周内缩小 50%,其中 88.9%的伤口在平均 6.5 周的 4.5 次 HKM 应用后完全愈合。
本系列结果强调了 HKM 与指示性全身性干预措施和 SoC 联合应用的潜力,即使在非常大的伤口中,它也是治疗难以愈合(慢性)VLUs 的有效治疗方法。