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Case №2

Diagnosis: Comminuted Fracture Of The Tibia And Fibula

Approximately 6 months ago, the patient was admitted into the hospital with comminuted fracture of the tibia and fibula, on which surgery was performed (reduction and external fixation).

After 6 months he comes back to the Emergency Room, presenting deformity, inflammation, swelling, pain and one canal with drainage.

Emergency Clinical Hospital "Bagdasar Arseni" Bucharest, Romania, April 2018


  • Patient:
    Stefan Marin
  • Gender:
    Male
  • Age:
    28 years old
  • Diagnosis:
    Comminuted Fracture Of The Tibia And Fibula
Case №2

    Clinical Presentation

    Samples were harvested from the wound to asses the type of germs that caused the infection.
    Result: Staphylococcus epidermidis


    Clinical Presentation

    Chronology of Treatment

    Day 1 — Surgery
    • Second surgery was performed with reduction and internal fixation.
    • Debridement of necrotic / devitalized tissue was performed;
    • 2-3 mm thickness of the product was applied inside the wound;
    Day 2 — Day 7

    Mirragen was applied daily for the first 3 days and once every 2 days for the remaining 4 days.

    Check-Out Instructions:

    • Sterile bandage changed every day;
    • Sutures removed after 7 days;
    Chronology of Treatment