Dermagraft Helps Heal Diabetic Foot Ulcers

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PD_Fitness and WellBeing_67048Dermagraft is a US Food and Drug Administration approved skin substitute that helps heal diabetic foot ulcers. These ulcers are serious wounds that occur most often in the skin over the ball of the foot or on the bottom of the big toe.

Helping to Grow New Skin

Dermagraft is a dissolvable mesh material that contains human connective tissue cells called fibroblasts. Dermagraft is placed directly on the ulcer, where the mesh and fibroblasts are gradually absorbed. Fibroblasts produce many of the same factors found in healthy skin. As the fibroblasts attach and grow in the wound, they help replace and rebuild the damaged parts in the foot.

Dermagraft can be used on the following types of ulcers:

  • Full-thickness diabetic foot ulcers that have been present for longer than six weeks
  • Ulcers that extend deeper into the skin where the blood vessels are, but do not involve tendon, muscle, joint capsule, or bone

When Not to Use Dermagraft

There are certain cases when Dermagraft should not be used, such as:

  • Infected ulcers
  • Ulcers with sinus tracts (tunneling)
  • For people who are allergic to products derived from cows (there is bovine serum in the packaging solution)

The Importance of Careful Foot Care

People with diabetes are more llikely to develop foot problems such as:

  • Changes in the skin of the feet, specifically drying and cracking
  • Nerve damage, which decreases feeling in the feet and allows wounds to occur unnoticed
  • Poor circulation, which makes fighting infection difficult

These problems make them more susceptable to sores. If you have diabetes, inspect your feet every day, and seek care right away if you have a foot injury. Also, have your feet checked by your health care provider at least once a year.

RESOURCES:

American Diabetes Association
http://www.diabetes.org

US Food and Drug Administration
http://www.fda.gov

CANADIAN RESOURCES:

Canadian Diabetes Association
http://www.diabetes.ca/

Canadian Podiatric Medical Association
http://www.podiatrycanada.org/fin_pod.html

References

Ehrenreich M, Ruszczak Z. Update on tissue-engineered biological dressings. Tissue Eng. 2006 Sep;12(9):2407-24. Review.

Marston WA. Dermagraft, a bioengineered human dermal equivalent for the treatment of chronic nonhealing diabetic foot ulcer. Expert Rev Med Devices. 2004 Sep;1(1):21-31. Review.




Last reviewed February 2008 by Ross Zeltser, MD

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

Source: EBSCO
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