Some ulcers—post-traumatic, venous or post-surgical—stall in the inflammatory phase.
Diagnosis includes trans-cutaneous oxygen tension measurement, digital wound photography, and an ankle–brachial pressure index to confirm adequate perfusion.
Symptoms: wounds persisting > 4 weeks, heavy exudate, slough, or intolerable dressing pain.
Treatment: Dr Srinivas layers modern bio-engineering with basic science—negative-pressure wound therapy to draw perfusion, platelet-rich plasma or growth-factor gels to jump-start granulation, and bio-engineered skin or collagen matrices as scaffolds. Hyperbaric oxygen is arranged when tissue pO2 is < 30 mm Hg. Weekly metrics guide when to step up or taper therapy.
Rapid debridement, infection control and customised off-loading to close wounds fast.
Realignment and internal fixation restore stable, pain-free walking.
Multidisciplinary protocols that cut amputation risk by more than 80 %.
From ingrown toenails to bunions, comprehensive surgical and conservative foot care.
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