Heberprot-P® in the treatment of distal vascular trauma

Abstract

Introduction: Trauma is a frequent cause of consultation. Among its most common locations are the lower extremities. Heberprot-P^® is an epidermal growth factor that has been used for more than a decade for the healing of diabetic foot ulcers with excellent results. Extending its use to other pathologies, including traumatic etiology ones, would expand the therapeutic possibilities for wound healing.

Objective: To present the result of the application of Heberprot-P^® in a Chopart´s amputation in a patient with distal vascular trauma.

Case presentation: A 23-year-old male patient with a health history. After trauma from a traffic accident, he presented a fracture of the bones of the metatarsus and the whole section of the left foot´s pedis artery, which caused a wet gangrene of the extremity. For this reason, a Chopart´s amputation of the foot was performed. Heberprot-P^® was used as therapy to shorten healing time.

Conclusions: Heberprot-P^® was useful for wound evolution as a result of vascular trauma, avoiding major amputation, accelerating the healing process and preserving a functional limb, which showed that it can be an effective therapy for wounds that are difficult to heal, regardless of their etiology.