{"id":11282,"date":"2026-09-02T11:06:40","date_gmt":"2026-09-02T09:06:40","guid":{"rendered":"https:\/\/www.smrekovit.si\/?p=11282"},"modified":"2026-09-07T09:44:04","modified_gmt":"2026-09-07T07:44:04","slug":"necrotic-foot-wound-case","status":"publish","type":"post","link":"https:\/\/www.smrekovit.si\/en\/nekroticna-rana-stopala-primer\/","title":{"rendered":"Extensive necrotic wound of the foot: documented course of the case"},"content":{"rendered":"<section class=\"translation-block case-summary\" aria-labelledby=\"case-summary-title\">\n\n  <h2 id=\"case-summary-title\">Case at a glance<\/h2>\n\n  <dl class=\"case-summary__grid\">\n\n    <div class=\"case-summary__item\">\n      <dt>Patient<\/dt>\n      <dd>56 years old at the time of injury<\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Date of injury<\/dt>\n      <dd><time datetime=\"2026-02-12\">12 February 2026<\/time><\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Injury<\/dt>\n      <dd>\n        Crush injury and burn to the left foot caused by a heavy water heater\n        falling on it, with a simultaneous fracture of the distal phalanx of\n        the big toe\n      <\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Wound development<\/dt>\n      <dd>\n        Extensive necrosis developed on the dorsum of the foot; on 16 March,\n        the specialist described it as larger than half a man\u2019s palm\n      <\/dd>\n    <\/div>\n\n<div class=\"case-summary__item\">\n  <dt>Early use of Smrekovit Klasik<\/dt>\n  <dd>\n    According to the patient, already on <time datetime=\"2026-02-13\">13 February 2026<\/time>,\n    the day after the injury\n  <\/dd>\n<\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Documented resumption of systematic use of Smrekovit Klasik<\/dt>\n      <dd>\n        From <time datetime=\"2026-03-04\">4 March 2026<\/time>, on sterile\n        nonwoven gauze\n      <\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Concurrent medical care<\/dt>\n      <dd>\n        Community nursing dressing changes, other dressings, partial removal\n        of necrotic tissue, necrectomy and Dermazin\n      <\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Visual wound closure<\/dt>\n      <dd><time datetime=\"2026-05-02\">2 May 2026<\/time><\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Follow-up photograph<\/dt>\n      <dd>\n        <time datetime=\"2026-06-06\">6 June 2026<\/time> \u2013 the area remains\n        closed with no visible open wound\n      <\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item case-summary__item--wide\">\n      <dt>Documentation<\/dt>\n      <dd>\n        Medical reports, community nursing documentation, SMS\/MMS correspondence\n        and serial photographic monitoring\n      <\/dd>\n    <\/div>\n\n  <\/dl>\n\n  <p class=\"case-summary__note\">\n    Smrekovit Klasik was part of the overall wound care and was not the only\n    intervention used. The case therefore presents the documented course of\n    an individual wound, not the isolated effect of a single intervention.\n  <\/p>\n\n<\/section>\n\n\n\n<div class=\"wp-block-rank-math-toc-block toc toc-naslov\" id=\"rank-math-toc\"><h2>Table of contents<\/h2><nav><ul><li class=\"\"><a href=\"#kako-je-prislo-do-poskodbe\">How did the injury occur?<\/a><\/li><li class=\"\"><a href=\"#razvoj-nekroze\">Development of necrosis<\/a><\/li><li class=\"\"><a href=\"#kako-je-bila-rana-oskrbovana\">How was the wound treated?<\/a><\/li><li class=\"\"><a href=\"#fotografski-potek-rane\">Photographic course of the wound<\/a><\/li><li class=\"\"><a href=\"#kaj-je-pri-tem-primeru-pomembno\">What is important about this case?<\/a><\/li><li class=\"\"><a href=\"#dokumentacija-in-omejitve-primera\">Documentation and limitations of the case<\/a><\/li><li class=\"\"><a href=\"#ce-vas-zanima-oskrba-odprte-rane\">If you are interested in caring for an open wound<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 id=\"kako-je-prislo-do-poskodbe\" class=\"wp-block-heading\">How did the injury occur?<\/h2>\n\n\n\n<div class=\"translation-block case-section\" id=\"nastanek-poskodbe\">\n\n\n  <p>\n  The injury occurred on <strong>12 February 2026<\/strong>, when a heavy water\n  heater fell onto the patient's left foot at home. The incident caused a\n  combined injury to the foot: a severe impact or crush injury together with\n  a hot-water burn.\n<\/p>\n\n<p>\n  At the first medical examination, the foot was markedly painful, swollen\n  and bruised, and the skin on the dorsum of the foot was damaged. X-ray\n  imaging also showed a <strong>fracture of the distal phalanx of the left\n  big toe<\/strong>. Rest, unloading of the foot, crutches and pain treatment\n  were recommended, and a temporary below-knee splint was also applied.\n<\/p>\n\n<p>\n  Over the following days, blisters appeared in the injured area, and later\n  dead or necrotic tissue began to develop on the dorsum of the foot.\n<\/p>\n\n<p>\n  According to the patient's own report, she began using Smrekovit Klasik\n  immediately after the injury. A photograph from <strong>13 February 2026<\/strong>,\n  one day after the accident, documents the early condition of the foot during\n  this period of use.\n<\/p>\n\n<\/div>\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"848\" height=\"1131\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-2-2026.webp\" alt=\"Injured left foot on 13 February 2026, one day after the injury\" class=\"wp-image-11407\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-2-2026.webp 848w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-2-2026-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-2-2026-768x1024.webp 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-2-2026-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-2-2026-600x800.webp 600w\" sizes=\"auto, (max-width: 848px) 100vw, 848px\" \/><figcaption class=\"wp-element-caption\">13 February 2026 \u2013 condition one day after the injury; according to the patient\u2019s own report, she was already using Smrekovit Klasik.<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 id=\"razvoj-nekroze\" class=\"wp-block-heading\">Development of necrosis<\/h2>\n\n\n\n<div class=\"translation-block case-section\" id=\"razvoj-nekroze\">\n\n\n <p>\n  At the follow-up examination on <strong>23 February 2026<\/strong>, eleven days\n  after the injury, an epidermal to superficial dermal injury or burn was\n  described on the dorsum of the foot, together with a <strong>small area of\n  dry necrosis<\/strong>. This confirms that tissue necrosis was already present\n  before detailed photographic monitoring began in March.\n<\/p>\n\n<p>\n  Over the following days, the condition progressed markedly. In the photograph\n  from <strong>5 March 2026<\/strong>, an <strong>extensive, sharply demarcated\n  black necrotic area<\/strong> is already visible on the dorsum of the foot,\n  while the foot remained markedly swollen.\n<\/p>\n\n<p>\n  According to the patient\u2019s own report, she had already been using Smrekovit\n  Klasik during the first days after the injury. After she entered medical and\n  community nursing care, the methods of local wound care changed over time.\n  On <strong>4 March 2026<\/strong>, she resumed systematic use of Smrekovit\n  Klasik on sterile nonwoven gauze. Because well-preserved SMS\/MMS communication\n  is available from this point onward, this date is used as the beginning of\n  the closely monitored renewed systematic use.\n<\/p>\n\n<\/div>\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"689\" height=\"919\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/5_3_2026_web.webp\" alt=\"Extensive necrotic wound on the left foot on 5 March 2026\" class=\"wp-image-11301\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/5_3_2026_web.webp 689w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/5_3_2026_web-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/5_3_2026_web-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/5_3_2026_web-600x800.webp 600w\" sizes=\"auto, (max-width: 689px) 100vw, 689px\" \/><figcaption class=\"wp-element-caption\">5 March 2026 \u2013 extensive black necrosis on the dorsum of the left foot at the beginning of documented monitoring<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 id=\"kako-je-bila-rana-oskrbovana\" class=\"wp-block-heading\">How was the wound treated?<\/h2>\n\n\n\n<div class=\"translation-block case-section\" id=\"oskrba-rane\">\n\n\n  <p>\n    From <strong>4 March 2026<\/strong>, the renewed systematic use of\n    <strong>Smrekovit Klasik<\/strong> is documented. The ointment was applied to\n    sterile nonwoven gauze, which was then placed with the coated side directly\n    onto the entire wound. The frequency of dressing changes was adjusted\n    according to the amount of exudate.\n<\/p>\n\n<p>\n    Wound care during this period did not follow a single method. The patient was\n    monitored by the community nursing service, and copper or bronze dressings\n    were also used during certain periods. Part of the necrotic tissue was\n    gradually removed.\n<\/p>\n\n<p>\n    On <strong>16 March 2026<\/strong>, the wound was examined by a specialist in\n    plastic surgery. The necrotic area was described as larger than half of a\n    man's palm, and necrectomy was performed up to the point of pain. Dermazin\n    was used after the procedure. During the subsequent course, the patient\n    returned to using Smrekovit Klasik on nonwoven gauze.\n<\/p>\n\n<p>\n    Because several different procedures were used, this case does not allow the\n    effect of an individual intervention to be separated. It does, however, allow\n    detailed monitoring of the wound course during a period in which Smrekovit\n    Klasik was an important and repeatedly used part of wound care.\n<\/p>\n\n<\/div>\n\n\n\n<h2 id=\"fotografski-potek-rane\" class=\"wp-block-heading\">Photographic course of the wound<\/h2>\n\n\n\n<div class=\"wp-block-group case-timeline\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-03-13\">13 March 2026<\/time>\n    <span>29 days after the injury<\/span>\n  <\/div>\n\n  <h3>Gradual separation of necrotic tissue<\/h3>\n\n  <p>\n    The necrotic eschar was less homogeneous than at the beginning of monitoring.\n    Black-grey, yellowish and isolated reddish areas were visible.\n    During this period, the community nursing service performed dressing changes\n    and partially removed separating necrotic tissue.\n  <\/p>\n\n<\/div>\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"689\" height=\"919\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-3-2026.webp\" alt=\"Necrotic wound on the left foot on 13 March 2026\" class=\"wp-image-11305\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-3-2026.webp 689w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-3-2026-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-3-2026-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-3-2026-600x800.webp 600w\" sizes=\"auto, (max-width: 689px) 100vw, 689px\" \/><figcaption class=\"wp-element-caption\">13 March 2026 \u2013 the necrotic eschar is less homogeneous, with visible black-grey, yellowish and reddish areas.<\/figcaption><\/figure>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-03-23\">23 March 2026<\/time>\n    <span>39 days after the injury<\/span>\n  <\/div>\n\n  <h3>Less black necrosis and more open wound surface<\/h3>\n\n  <p>\n    Nine days after the photograph from 13 March, the necrotic eschar was\n    considerably less uniform. The photograph is dominated by yellow-brown\n    areas, isolated black areas of necrosis and already visible reddish areas\n    of the open wound.\n  <\/p>\n\n  <p>\n    In the meantime, on <strong>16 March<\/strong>, the wound was examined by a\n    specialist in plastic surgery, who performed necrectomy up to the point of\n    pain and used Dermazin after the procedure. In the following days, bronze\n    dressings were also used again, and <strong>on 22 March the patient returned\n    to using Smrekovit Klasik<\/strong>.\n  <\/p>\n\n<\/div>\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"689\" height=\"919\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-3-2026.webp\" alt=\"Necrotic wound on the left foot on 23 March 2026\" class=\"wp-image-11308\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-3-2026.webp 689w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-3-2026-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-3-2026-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-3-2026-600x800.webp 600w\" sizes=\"auto, (max-width: 689px) 100vw, 689px\" \/><figcaption class=\"wp-element-caption\">23. March 2026 \u2013 less uniform black necrosis, with more yellow-brown and reddish areas of the open wound.<\/figcaption><\/figure>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\"> \n    <time datetime=\"2026-03-27\">27 March 2026<\/time> \n    <span>43 days after the injury<\/span> \n  <\/div> \n \n  <h3>More visible granulation tissue<\/h3> \n \n  <p> \n    In the days before the photograph, there was also a problem with one of the dressings: \n    the dressing was left on the wound for too long and adhered as it dried. The patient \n    was therefore again advised to apply Smrekovit Klasik to sterile nonwoven gauze and \n    to change the dressing more regularly. \n  <\/p> \n \n  <p> \n    In the photograph from <strong>27 March<\/strong>, compared with the previous images, \n    more <strong>pink-red granulation tissue<\/strong> is visible, while there is less \n    black necrotic tissue. The wound is still extensive and open, but its appearance \n    is clearly changing. \n  <\/p>\n\n<\/div>\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"689\" height=\"919\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/27-3-2026.webp\" alt=\"Granulation tissue in the wound on the left foot on 27 March 2026\" class=\"wp-image-11311\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/27-3-2026.webp 689w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/27-3-2026-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/27-3-2026-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/27-3-2026-600x800.webp 600w\" sizes=\"auto, (max-width: 689px) 100vw, 689px\" \/><figcaption class=\"wp-element-caption\">27 March 2026 \u2013 less necrotic tissue and more visible pink-red granulation tissue.<\/figcaption><\/figure>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-04-13\">13 April 2026<\/time>\n    <span>60 days after the injury<\/span>\n  <\/div>\n\n  <h3>The open wound surface is noticeably decreasing<\/h3>\n\n  <p>\n    In the photograph from <strong>13 April<\/strong>, the open wound surface\n    is already markedly smaller compared with the March images. \n    <strong>Red granulation tissue<\/strong> predominates, while black necrotic\n    tissue is practically no longer visible.\n  <\/p>\n\n  <p>\n    At this stage, the wound was not yet closed. Exudate and swelling were\n    still present, and the patient continued to report problems related to\n    the foot injury itself.\n  <\/p>\n\n<\/div>\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"599\" height=\"799\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-4-2026.webp\" alt=\"Smaller open wound with granulation tissue on the left foot on 13 April 2026\" class=\"wp-image-11312\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-4-2026.webp 599w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-4-2026-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/13-4-2026-9x12.webp 9w\" sizes=\"auto, (max-width: 599px) 100vw, 599px\" \/><figcaption class=\"wp-element-caption\">13 April 2026 \u2013 the open wound surface is noticeably smaller, with red granulation tissue predominating.<\/figcaption><\/figure>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-04-20\">20 April 2026<\/time>\n    <span>67 days after the injury<\/span>\n  <\/div>\n\n  <h3>Further reduction of the wound<\/h3>\n\n  <p>\n    Four days before this photograph, the wound was again examined by a\n    specialist in plastic surgery. In the report dated <strong>16 April 2026<\/strong>,\n    the specialist noted that the wound had decreased nicely in size and that an\n    unhealed area of approximately <strong>3\u20134 cm<\/strong> remained.\n    Hypergranulation tissue was also present.\n  <\/p>\n\n  <p>\n    In the photograph from <strong>20 April<\/strong>, the open wound surface is\n    even smaller than one week earlier. Granulation and gradual wound closure\n    are continuing. At this stage, the tissue was not yet fully mechanically\n    stable, as the patient reported that the wound could still bleed with\n    greater loading or while driving.\n  <\/p>\n\n<\/div>\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"689\" height=\"919\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/20-4-2026.webp\" alt=\"Smaller open wound on the left foot on 20 April 2026\" class=\"wp-image-11313\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/20-4-2026.webp 689w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/20-4-2026-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/20-4-2026-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/20-4-2026-600x800.webp 600w\" sizes=\"auto, (max-width: 689px) 100vw, 689px\" \/><figcaption class=\"wp-element-caption\">20 April 2026 \u2013 the open wound surface is even smaller, and the wound is gradually closing.<\/figcaption><\/figure>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-05-02\">2 May 2026<\/time>\n    <span>79 days after the injury<\/span>\n  <\/div>\n\n  <h3>The wound is visually closed<\/h3>\n\n  <p>\n    In the photograph from <strong>2 May<\/strong>, no open wound surface is\n    visible anymore. The area is practically epithelialised or closed, although\n    a small superficial skin change remains.\n  <\/p>\n\n  <p>\n    In the time-stamped communication, the wound was also described that same\n    day as nicely closed. The community nursing service nevertheless continued\n    to document dressing changes until <strong>13 May 2026<\/strong>.\n  <\/p>\n\n<\/div>\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"744\" height=\"919\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/2-5-2026.webp\" alt=\"Visually closed wound on the left foot on 2 May 2026\" class=\"wp-image-11316\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/2-5-2026.webp 744w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/2-5-2026-243x300.webp 243w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/2-5-2026-10x12.webp 10w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/2-5-2026-600x741.webp 600w\" sizes=\"auto, (max-width: 744px) 100vw, 744px\" \/><figcaption class=\"wp-element-caption\">2 May 2026 \u2013 the wound is practically epithelialised or closed, with only a small superficial skin change remaining.<\/figcaption><\/figure>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-group case-timeline__item\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"translation-block case-timeline__content\">\n\n  <div class=\"case-timeline__meta\">\n    <time datetime=\"2026-06-06\">6 June 2026<\/time>\n    <span>114 days after the injury<\/span>\n  <\/div>\n\n  <h3>Follow-up photograph: the wound remains closed<\/h3>\n\n  <p>\n    The follow-up photograph from <strong>6 June 2026<\/strong>, approximately\n    one month after the visual closure of the wound, shows a completely closed\n    area with no visible open wound.\n  <\/p>\n\n  <p>\n    A relatively calm change in skin colour and texture remains at the site of\n    the injury, but there is no visible reopening of the wound in the photograph.\n    This concludes the photographic monitoring of the skin aspect of the case.\n  <\/p>\n\n<\/div>\n\n\n<div class=\"wp-block-image case-image-overlay\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"689\" height=\"919\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/6-6-2026.webp\" alt=\"Closed area of the former wound on the left foot on 6 June 2026\" class=\"wp-image-11317\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/6-6-2026.webp 689w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/6-6-2026-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/6-6-2026-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/6-6-2026-600x800.webp 600w\" sizes=\"auto, (max-width: 689px) 100vw, 689px\" \/><figcaption class=\"wp-element-caption\">6 June 2026 \u2013 follow-up photograph approximately one month after wound closure; the area remains closed with no visible open wound.<\/figcaption><\/figure>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n\n\n<h2 id=\"kaj-je-pri-tem-primeru-pomembno\" class=\"wp-block-heading\">What is important about this case?<\/h2>\n\n\n\n<div class=\"translation-block case-section\" id=\"pomen-primera\">\n\n\n  <p>\n    The case is particularly notable because of the <strong>extent of the initial\n    injury and the well-documented course<\/strong>. Over several weeks, the large\n    black necrotic area gradually changed into an open wound with granulation\n    tissue, after which the wound surface continued to decrease until complete\n    closure.\n<\/p>\n\n<p>\n    An important feature is that the necrosis in this case did not develop\n    because of a known chronic vascular disease or diabetes, but following a\n    <strong>severe mechanical injury and burn to the foot<\/strong>. According to\n    information provided by the patient during follow-up, she was not aware of\n    having diabetes, venous insufficiency, heart failure or another major chronic\n    condition that would markedly impair wound healing.\n<\/p>\n\n<p>\n    At the same time, the course was not idealised. During recovery, the foot\n    was repeatedly subjected to considerable strain from walking on stairs,\n    driving and everyday obligations. After greater exertion, the patient also\n    reported increased pain, swelling or renewed bleeding.\n<\/p>\n\n<p>\n    Smrekovit Klasik was used regularly on sterile nonwoven gauze during a large\n    part of the documented period, but the wound was also receiving community\n    nursing and specialist care at the same time. The case therefore does not\n    allow the precise effect of each individual procedure to be separated, but\n    it provides a very clear picture of the <strong>actual multi-week course of\n    a complex post-traumatic wound<\/strong>.\n<\/p>\n\n<\/div>\n\n\n\n<h2 id=\"dokumentacija-in-omejitve-primera\" class=\"wp-block-heading\">Documentation and limitations of the case<\/h2>\n\n\n\n<div class=\"translation-block case-section\" id=\"dokumentacija-in-omejitve\">\n\n\n  <p>\n    The case was reconstructed retrospectively from several complementary\n    sources: <strong>medical reports, community nursing documentation,\n    time-stamped SMS\/MMS communication and serial photographic monitoring<\/strong>.\n<\/p>\n\n<p>\n    The medical documentation includes treatment at the time of injury,\n    a trauma follow-up, two examinations by a specialist in plastic and\n    reconstructive surgery, and later imaging examinations. The community\n    nursing service documented dressing changes between 16 February and\n    13 May 2026.\n<\/p>\n\n<p>\n    When interpreting the case, it is important to note that wound care was\n    not standardised. In addition to Smrekovit Klasik, other dressings,\n    Dermazin and surgical removal of necrotic tissue were also used at\n    different times. There was also no control group or standardised\n    measurement of wound surface area.\n<\/p>\n\n<p>\n    This is therefore a <strong>single documented observational case<\/strong>\n    showing the actual course of the wound and the use of Smrekovit Klasik as\n    part of the overall wound care. It cannot be used to directly predict the\n    course or outcome of other wounds.\n<\/p>\n\n<\/div>\n\n\n\n<h2 id=\"ce-vas-zanima-oskrba-odprte-rane\" class=\"wp-block-heading\">If you are interested in caring for an open wound<\/h2>\n\n\n\n<div class=\"translation-block case-section case-next-step\">\n\n\n  <p>\n    This page presents the course of one specific case. General information\n    about open wounds, factors that affect healing, and warning signs is available on the page\n    <a href=\"\/en\/open-wound-on-leg\/\">Open wound on the leg<\/a>.\n  <\/p>\n\n  <p>\n    The specific method of using Smrekovit Klasik with nonwoven gauze,\n    the frequency of dressing changes, and practical instructions can be found in the\n    <a href=\"\/en\/instructions\/wounds\/\">instructions for use with wounds<\/a>.\n  <\/p>\n\n<\/div>\n\n\n\n<div class=\"translation-block article-footer-meta\">\n\n  <div class=\"article-footer-meta__info\">\n\n    <div class=\"article-footer-meta__item\">\n      <span class=\"article-footer-meta__label\">Author<\/span>\n      <span class=\"article-footer-meta__value\">\n        Matic Konc, biomedical laboratory engineer\n      <\/span>\n    <\/div>\n\n    <div class=\"article-footer-meta__item\">\n      <span class=\"article-footer-meta__label\">Date prepared<\/span>\n      <time class=\"article-footer-meta__value\" datetime=\"2026-09-02\">\n        2 September 2026\n      <\/time>\n    <\/div>\n\n  <\/div>\n\n  <div class=\"article-footer-meta__sources\">\n\n    <h2>Sources and scientific background<\/h2>\n\n    <h3>Case documentation<\/h3>\n\n    <ul>\n      <li>\n        <a href=\"\/wp-content\/uploads\/2026\/09\/0012026_Javni_case_report_Smrekovit_Klasik_stopalo.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\n          Retrospective case report 2026-LF-01\n        <\/a>\n        <span>\n          Smrekovit, 2026 \u2013 medical documentation, SMS\/MMS correspondence\n          and photographic course\n        <\/span>\n      <\/li>\n    <\/ul>\n\n    <h3>Medical documentation<\/h3>\n\n    <ul>\n      <li>\n        Medical report, ZD Ajdov\u0161\u010dina, 12 February 2026\n      <\/li>\n\n      <li>\n        Report from the Trauma Unit of Dr Franc Derganc General Hospital\n        Nova Gorica, 12 February 2026\n      <\/li>\n\n      <li>\n        Trauma follow-up report, 23 February 2026\n      <\/li>\n\n      <li>\n        Report from the Plastic and Reconstructive Surgery Outpatient Clinic,\n        16 March 2026\n      <\/li>\n\n      <li>\n        Follow-up report from Plastic and Reconstructive Surgery,\n        16 April 2026\n      <\/li>\n\n      <li>\n        Community nursing service confirmation of dressing changes during the period\n        16 February\u201313 May 2026\n      <\/li>\n    <\/ul>\n\n    <h3>Practical professional basis<\/h3>\n\n    <ul>\n      <li>\n        <a href=\"\/en\/instructions\/wounds\/\">\n          Instructions for use with wounds\n        <\/a>\n        <span>Smrekovit \u2013 practical wound care instructions<\/span>\n      <\/li>\n    <\/ul>\n\n    <p class=\"article-footer-meta__note\">\n      The timeline of the case is based on medical documentation,\n      time-stamped SMS\/MMS communication and serial photographic\n      monitoring. This is a single documented observational case.\n      In addition to Smrekovit Klasik, other procedures were also used\n      during wound care, so the effect of an individual intervention\n      cannot be determined from this case, nor can the outcome be\n      generalised to other wounds.\n    <\/p>\n\n  <\/div>\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Documented case of an extensive post-traumatic necrotic wound of the left foot, monitored from the injury in February 2026 until wound closure and later follow-up. The case includes medical documentation, a photographic course, and time-documented monitoring of the use of Smrekovit Klasik as part of the overall wound care.<\/p>","protected":false},"author":2,"featured_media":11294,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[153,159,149],"tags":[],"class_list":["post-11282","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uporaba-v-praksi","category-dokumentirani-primeri","category-koza-in-rane"],"_links":{"self":[{"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/posts\/11282","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/comments?post=11282"}],"version-history":[{"count":23,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/posts\/11282\/revisions"}],"predecessor-version":[{"id":11410,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/posts\/11282\/revisions\/11410"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/media\/11294"}],"wp:attachment":[{"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/media?parent=11282"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/categories?post=11282"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/tags?post=11282"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}