Images taken on March 29th, 2023 showing shoulder laceration before treatment

  Images demonstrating healing progression at 12 weeks (on left, taken June 22nd, 2023) and 6 months (right, taken October 24th, 2023)

Case Presentation

March 29th, 2023: The patient escaped the yard after being spooked and fell onto pavement, resulting in a significant shoulder wound as well as smaller lacerations to the stifle and hip. The shoulder wound contained embedded gravel and other debris sustained during the fall.

Treatment

March 29th, 2023: The wounds were flushed with sterile saline and antibiotics. A Regenaflex-M wound membrane was placed over the shoulder wound and covered with a non-stick pad and gauze secured with suture loops. A small stent was placed below the wound to allow for drainage.

The shoulder wound was monitored over the following days, with two additional pieces of Regenaflex-M placed on the wound during this period.

March 29th, 2023                          March 30th, 2023

March 31st, 2023                          April 12th, 2023

Recheck Examination

April 23rd, 2023: Satisfactory tissue granulation was observed around the edges of the wound. Yellowing near the wound margins was noted, consistent with breakdown of the membrane into the wound. The area surrounding the wound was cleaned while the membrane area was left undisturbed to preserve its placement.

May 4th, 2023: The wound was smaller in size at recheck. The barn manager was utilizing a topical silver spray to help maintain wound cleanliness.

June 22nd, 2023: At the final 12-week recheck, Dr. Wayner observed significant healing with minimal scarring in the areas where Regenaflex-M had been applied. The smaller lacerations on the stifle and hip, which were too small for membrane application, exhibited more extensive scarring than the shoulder wound.