title: Reepithelialization under pressure: a case study.
abstract: BACKGROUND
  This case study describes the care of an obese male with a history of hypertension and venous insufficiency.
  
  
  METHODS
  The patient is a 55-year-old nonsmoker with clinical evidence of normal extremity arterial flow, who sustained a traumatic rupture of a venous varicosity on his left lateral calf while getting out of his car. Several months of wound care using standard compression strategies failed to result in wound closure. Drawing on a case study that described the management of a burn wound with silver hydrofiber, the patient was successfully managed with the same silver hydrofiber along with compression. This wound reepithelialized following application of a single dressing that remained in place under compression for a period of 2 weeks. After months of trial and failure, full healing was achieved within 4 weeks of initiating this treatment.
  
  
  CONCLUSIONS
  Delivery of optimal care is based on the unique needs of the patient and available resources. This case illustrated how a published case study can be applied to the unique challenges of a second patient.
authors.affiliation: Plastic Surgery Group of Memphis, 80 Humphreys Ctr Ste 100, Memphis, TN 38120, USA. jenny.hurlow@gmail.com [corrected].
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hurlow
mesh_terms: D000891:Anti-Infective Agents, Local / Q000627:therapeutic use*; D047070:Bandages, Hydrocolloid; D058128:Compression Bandages; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D012421:Rupture; D012834:Silver / Q000627:therapeutic use*; D014647:Varicose Ulcer / Q000150:complications / Q000628:therapy*; D014680:Veins / Q000293:injuries*; D014689:Venous Insufficiency / Q000150:complications
chemical_list: D000891:Anti-Infective Agents, Local; D012834:Silver