Clinical case library · 19 documented journeys
The journey matters as much as the outcome.
A clinical library of diabetic foot ulcers, gangrene, osteomyelitis, PAD-related wounds, chronic heel ulcers, venous ulcers and complex tissue-repair cases. Each record explains the presentation, care pathway and follow-up—not simply a before-and-after image.
When a case shows a short healing interval, it reflects timely assessment, diagnosis, circulation review, infection control, pressure relief and structured follow-up. It is never a promise of the same result or timeframe for another patient.
Clinical documentation
Presentation · Care pathway · Follow-up
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Clinical journeys, documented with context.
Infected diabetic foot ulcer with great-toe gangrene
Septic great-toe gangrene: early limb-preservation care
A severe infected diabetic foot ulcer with right great-toe gangrene and sepsis in the setting of type 2 diabetes, hypertension and chronic kidney disease.
The presentation documents complete wound healing in 28 days, resolution of sepsis and successful limb salvage.
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Chronic infected diabetic foot ulcer with osteomyelitis
Metatarsal osteomyelitis: culture-guided wound care
A six-month right foot ulcer that progressed to sepsis with metatarsal-head osteomyelitis.
The record highlights culture-led management after Citrobacter freundii, a multidrug-resistant organism, was identified.
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Chronic non-healing ulcer
Healing a complex Achilles-region ulcer
A six-month non-healing ulcer over the Achilles region, where limited soft-tissue coverage and poor vascularity can make healing difficult.
The presentation records complete wound healing in 45 days, successful Achilles-region coverage and preserved limb function.
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Ischaemic diabetic foot with forefoot gangrene
Forefoot gangrene with PAD: revascularisation and NPWT
A severe ischaemic diabetic foot with complete forefoot gangrene, peripheral arterial disease and a post-surgical wound infection.
The presentation documents complete wound healing in three months with infection control and limb salvage despite severe ischaemia.
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Fourth and fifth toe gangrene
Toe gangrene: preparing a high-risk wound bed
Left fourth- and fifth-toe gangrene in a patient with peripheral arterial disease and multiple significant comorbidities.
The presentation documents a wound bed ready for the next stage of care within 48 hours.
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Great-toe gangrene with sepsis and arterial occlusion
Great-toe gangrene after revascularisation
Left great-toe gangrene with sepsis, tibial artery occlusion and dorsalis pedis artery occlusion.
The presentation records wound closure in 50 days with sepsis control and clinical stabilisation.
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Non-healing neuropathic plantar foot ulcer
Neuropathic plantar ulcer: collagen and offloading
A 3 × 4 cm plantar neuropathic foot ulcer in a person living with type 2 diabetes, with limited progress after eight weeks of conventional dressings and topical antibiotics.
The presentation reports 80% area reduction in four weeks and complete closure in seven weeks.
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Chronic diabetic foot ulcer with foreign material
A hidden cause behind a two-year non-healing ulcer
A two-year non-healing ulcer where X-ray identified multiple stapler pins within the wound site.
The presentation documents wound healing in 12 weeks, pain relief and improved mobility.
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Great-toe abscess with distal phalanx osteomyelitis
A limb-preservation pathway for toe osteomyelitis
A complex great-toe infection in a patient with multiple comorbidities, where treatment decisions required close clinical review.
The presentation documents complete healing in 40 days and a stable one-year follow-up without recurrence.
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Long-standing venous ulcer
Chronic venous ulcer: comfort-focused wound care
A left-foot venous ulcer that had remained non-healing for seven years in a bedridden patient.
The presentation records complete wound healing in 80 days with improved comfort and quality of life.
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Third-degree foot burn
Third-degree foot burn: preserving function
A third-degree foot burn sustained while barefoot during a fire-walking festival, in the context of neurological deficit and depression.
The presentation documents complete wound healing within eight days with rapid epithelialisation and pain relief.
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Chronic non-healing diabetic foot ulcer
A long-standing diabetic foot ulcer: a structured care pathway
An eight-year non-healing ulcer in a patient with diabetes, hypertension, chronic kidney disease and peripheral neuropathy.
The presentation records marked wound healing within one month, alongside improved mobility and quality of life.
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Infected diabetic foot ulcer with great-toe gangrene
Septic diabetic foot gangrene: surgical wound-bed preparation
Left great-toe gangrene with sepsis in a patient with type 2 diabetes, coronary artery disease, COPD and chronic kidney disease.
The presentation documents complete healing in 48 days, resolution of sepsis and successful limb salvage.
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Gangrene with foreign-body contamination and myiasis
Contaminated gangrene with myiasis: urgent wound conversion
A six-month non-healing left-foot wound with gangrene, tobacco contamination and maggot infestation, alongside diabetes, hypertension and COPD.
The presentation records a clean, prepared wound bed within 10 hours, enabling definitive wound care to proceed.
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Infected non-healing diabetic foot ulcer
Thorn-prick injury: when minor trauma becomes a diabetic foot emergency
A right-foot wound after a thorn-prick injury that progressed to an infected non-healing ulcer in a patient with diabetes, hypertension and chronic kidney disease.
The presentation documents complete wound healing in 32 days, infection control and limb preservation.
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Acute burn wound
Acute hand burn: function-preserving wound care
An acute right-hand burn near the thumb, with risk of infection, delayed epithelialisation and impaired thumb mobility.
The presentation documents complete wound healing in one month with thumb function preserved.
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Long-standing heel ulcer
Chronic heel ulcer: the role of offloading and monitoring
An eight-year heel ulcer that had not responded to multiple previous treatment attempts.
The presentation records complete wound healing in 35 days with functional recovery and limb preservation.
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Chronic stump ulcer
A chronic stump ulcer: tissue repair after prolonged non-healing
A four-year non-healing stump ulcer in a patient with diabetes and end-stage renal disease.
The presentation records complete healing in two months with meaningful pain reduction and improved mobility.
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Left-foot gangrene with sepsis
Gangrene with sepsis: complex care in a high-risk diabetic foot
Left-foot gangrene with sepsis after multiple unsuccessful treatments, in the context of poorly controlled diabetes, grade 3 hypertension and stage 3 chronic kidney disease.
The presentation documents complete wound healing in 28 days and a reduction in higher-level amputation risk.
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