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SAWC Fall 2023 · Poster

Fish Skin Graft for Treatment of a Deep Heel Wound: A Case Study

Nikul Panchal, DPM, FACFAS — Symposium on Advanced Wound Care

Nikul Panchal, DPM, FACFAS — Fellowship-Trained Surgeon

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What this research means for patients

Heel wounds are uniquely stubborn: the heel bears the body’s full weight, its skin is anatomically distinct, and pressure on the area never really stops. Deep heel ulcers carry one of the highest breakdown-and-amputation risks in wound care.

This case study follows a 64-year-old patient with a deep decubitus heel wound. After reconstruction of the underlying deformity and serial debridement, fish skin graft applications rebuilt the wound base until full closure was achieved — with no recurrence noted at follow-up.

The patient walked again on the healed heel. That’s the standard our limb-preservation program aims for: not just a closed wound, but a foot you can live on.

The poster
⚠ Surgical imagery

Viewer discretion advised

This research poster contains real clinical wound photography. It is intended for education and may be graphic.

Presented at the Symposium on Advanced Wound Care (SAWC). Scroll horizontally to explore the full poster. Individual results vary; nothing on this page is a guarantee of outcome.

Related care at our practice
Wound Care & Limb Salvage Charcot Foot & Ankle Reconstruction

The research is the easy part — applying it well is the craft.

The grafting techniques in this study are in routine use at our Daytona Beach practice.

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