WOUND HEALING CLTI WITHOUT AMPUTATION USING TIME ORIGINAL: A CASE STUDY

Abstract

Chronic limb-threatening ischemia (CLTI) is clinical syndrome defined by presence PAD in the combination rest pain, gangrene, or lower limb ulceration more than 2 weeks. Arterial ulcers as complication ischemia ulcers risk limb loss, the lesion are generally refractory to healing unless tissue perfusion can be improved prone to progress infection or gangrene. With or without surgery arterial ulcer cause of chronic limb ischemia need wound care treatment. The method is using case study, there are present female 61 years old complain necrotic right & left leg after CABG surgery 1 month ago. Glucose uncontrolled, angiography hard occlusion artery popliteal sinistra and tibialis anterior. Wound management using moist concept with TIME original Framework; tissue management with sharp and safe debridement continue using autolytic debridement using hydrogel base, infection control with iodosorb powder & nano colloidal silver spray alternate every 2 weeks, moisture imbalance using calcium alginate and hydro foam, Migration cell epithelial need the support with collagen lotion to prevent break down periwound skin. This case in wound care management necrotic tissue causes of CLTI failed healing after surgery CABG, using TIME original framework have significant result and wound healing at four months without amputation. Case of wound in critical limb-threatening ischemia need appropriate wound care management to heal the wound. Occlusion artery as problem because cannot heal the wound, but the moist condition granulate tissue will grow with helping vascular endothelium growth factor as angiogenesis process. Using moist concept TIME original framework to create and promote healing without amputation and saving feet to saving lives.