Use of a Synthetic Hybrid-scale Fiber Matrix in the Management of Chronic and Complex Wounds: A Retrospective Case Series

Abstract

Introduction. Chronic and complex wounds are often recalcitrant to treatment, regardless of etiology. These wounds are a burden to both the patient and the health care system. Advanced treatment options are needed to improve patient outcomes. An SHSFM has shown positive results in the management of complex and chronic wounds. Objective. In this retrospective case series, patients with chronic and complex wounds of various etiologies were treated with the SHSFM to assess its utility in the management of these wound types. Materials and Methods. A retrospective review of the charts of 18 patients with a total of 28 wounds was conducted. Healing was monitored at follow-up visits, and the SHSFM was reapplied as clinically indicated. Results. The average patient age was 59 years, and average initial wound surface area was 43.4 cm2. Wound types included ulcers, surgical and traumatic wounds, necrotic infections, and others. Complete healing was achieved in 89% of wounds. The average time to healing was 196 days ± 146.7 standard deviation, and the number of applications per wound ranged from 1 to 11. Conclusions. This case series demonstrates the unique versatility of the SHSFM in achieving appropriate clinical outcomes depending on wound and patient factors.