Differences in treatment with synthetic patches and amnion in a period of two months.

Here we can see clearly, and in a longer time, the benefit in the use of amnion on the use of synthetic patches. These comparisons, more prolonged in two weeks time as we shown above results confirm the superiority of the implementation of the amnion of the placenta. However, the small number of patients evolved with such severity of injury, not in any way we can ensure that results are equal at all the patient. Clearly, like any treatment, important factors involved, such as the psychological characteristics of patients, their deso of overcoming trauma, physical and psychological resistance wing traumatic injury which means the accident, and even the surgery. This patient and others who had other diseases present no noteworthy .. It is here that communication with the patient, sincere, direct and comprehensive becomes a cornerstone in this treatment, prolonged in time and craft features. You must generate a lot of confidence in both directions, between doctor and patient, being aware that it is a complex situation and that may require sudden changes in direction of treatment. Any practitioner who was involved in the treatment of open fractures is well aware of these possibilities, which may require emergency amputation. Thus, the basic pillar so often mentioned, and sometimes forgotten by us is basic. Communication with the patient and the perfect understanding of the goals of treatment. Numbers of photos and translate.
fig. 1.- February 20, 2009, surgery number 13. Bone graft and graft of muscle, Dr. Cuculic and Dr. Gomez. Healing is performed with synthetic patches as soon after surgery.
fig. 2.- Photo of 9 March 09. March 9 to remove the synthetic patch.
fig. 3.- March 11 continued with synthetic patch.
fig. 4.- March 16 continued with synthetic patch.
fig. 5.- April 8, removed the synthetic patch, we started with placenta.
fig. 6.- Continue April 30 with placenta.
fig. 7.- 7 May, just days before closing the wound.
fig. 8.- Continue May 21 with placenta, there is considerable evolution. External fixators are removed.
fig. 9.- May 21, situation by removing the external fixator and functional cast treatment.