{"id":11338,"date":"2026-09-03T12:57:43","date_gmt":"2026-09-03T10:57:43","guid":{"rendered":"https:\/\/www.smrekovit.si\/?p=11338"},"modified":"2026-09-07T10:31:36","modified_gmt":"2026-09-07T08:31:36","slug":"lower-leg-wound-venous-heart-failure-case","status":"publish","type":"post","link":"https:\/\/www.smrekovit.si\/en\/rana-goleni-vensko-srcno-popuscanje-primer\/","title":{"rendered":"Post-traumatic lower leg wound with venous and heart failure: documented 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>77 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=\"2018-07-19\">19 July 2018<\/time><\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Injury<\/dt>\n      <dd>\n        Post-traumatic wound of the lower leg after striking it against a motorcycle starter\n      <\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Factors affecting healing<\/dt>\n      <dd>\n        Venous and heart failure; the severity of both conditions is not\n        objectively defined in the preserved documentation\n      <\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Initial open wound area<\/dt>\n      <dd>\n        <strong>25.08 cm\u00b2<\/strong> at the beginning of documented monitoring\n        on 4 August 2018\n      <\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Documented use of Smrekovit Klasik<\/dt>\n      <dd>\n        From <time datetime=\"2018-08-04\">4 August 2018<\/time> to\n        <time datetime=\"2018-08-23\">23 August 2018<\/time>,\n        on sterile gauze\n      <\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Measured course<\/dt>\n      <dd>\n        25.08 cm\u00b2 \u2192 15.43 cm\u00b2 after 5 days \u2192 0.20 cm\u00b2 after 12 days \u2192\n        0 cm\u00b2 after 19 days\n      <\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item\">\n      <dt>Wound closure<\/dt>\n      <dd>\n        <time datetime=\"2018-08-23\">23 August 2018<\/time> \u2013 both areas\n        were considered epithelialised at the time\n      <\/dd>\n    <\/div>\n\n    <div class=\"case-summary__item case-summary__item--wide\">\n      <dt>Documentation<\/dt>\n      <dd>\n        Original report from 2018, brief questionnaire, serial dated\n        photographs, measurement appendices and wound-area calculations\n      <\/dd>\n    <\/div>\n\n  <\/dl>\n\n  <p class=\"case-summary__note\">\n    The case is particularly notable for its serial photographs and quantitative\n    measurement of the open wound area. Measurements were made from photographs\n    with a measurement scale, with a measurement uncertainty of \u00b115% already\n    estimated in the original report. This is a single documented observational\n    case, so the course cannot establish the causal effectiveness of any\n    individual 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=\"#kako-je-bila-rana-oskrbovana\">How was the wound treated?<\/a><\/li><li class=\"\"><a href=\"#kako-smo-merili-povrsino-rane\">How we measured the wound area<\/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-rane\">\n\n  <p>\n    The injury occurred on <strong>19 July 2018<\/strong>, when the 77-year-old\n    patient struck the lower part of his leg against a motorcycle starter.\n    The impact caused a localised post-traumatic wound, which was later\n    designated as <strong>wound 1<\/strong> in the original documentation.\n  <\/p>\n\n  <p>\n    Because the condition did not improve satisfactorily after the injury,\n    according to the preserved questionnaire the patient visited a doctor\n    approximately three days later and then attended regular dressing changes\n    for about two weeks.\n  <\/p>\n\n  <p>\n    In the period before documented monitoring began, a substantially larger\n    superficially damaged area developed above the original wound, designated\n    as <strong>wound 2<\/strong>. The original 2018 report associated its\n    development with the use of a polyurethane dressing with a waterproof film,\n    but the original medical documentation from that period has not been\n    preserved, so this causal relationship cannot now be confirmed reliably.\n  <\/p>\n\n  <p>\n    At the beginning of documented monitoring on\n    <strong>4 August 2018<\/strong>, the original wound measured\n    <strong>3.93 cm\u00b2<\/strong>, while the secondary damaged area measured\n    <strong>21.15 cm\u00b2<\/strong> in total. The total estimated open wound area\n    was therefore <strong>25.08 cm\u00b2<\/strong>.\n  <\/p>\n\n<\/div>\n\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  <p>\n    Documented monitoring during the use of <strong>Smrekovit Klasik<\/strong>\n    began on <strong>4 August 2018<\/strong>. The ointment was applied in an\n    approximately 1\u20132 mm thick layer to sterile gauze, which was placed with\n    the ointment-covered side directly onto the open wound and secured with\n    a bandage.\n  <\/p>\n\n  <p>\n    The patient carried out the procedure at home <strong>twice daily<\/strong>.\n    Approximately once a week, the wound was additionally examined,\n    photographed and measured. This created consecutive time points at which\n    changes in the open wound area could be compared.\n  <\/p>\n\n  <p>\n    When an individual wound was assessed as closed or epithelialised,\n    Smrekovit Klasik was no longer used on that area. According to the original\n    2018 protocol, the patient then applied <strong>Smrekovit 365<\/strong>\n    to the closed skin without gauze or covering.\n  <\/p>\n\n  <p>\n    The procedure described above represents the actual documented wound care\n    from 2018 and is not a current instruction for use. Current practical\n    instructions for the use of Smrekovit Klasik on wounds are published\n    separately.\n  <\/p>\n\n<\/div>\n\n\n\n<h2 id=\"kako-smo-merili-povrsino-rane\" class=\"wp-block-heading\">How we measured the wound area<\/h2>\n\n\n\n<div class=\"translation-block case-section\" id=\"merjenje-povrsine-rane\">\n\n  <p>\n    The area of the open part of the wound was estimated from serial photographs\n    taken together with a <strong>measurement scale<\/strong>. The purpose of the\n    measurements was to monitor changes in the open wound area over time as\n    objectively as possible.\n  <\/p>\n\n  <p>\n    The photographs were graphically adjusted so that the scale was comparable\n    between individual images. The boundaries of the open wound area were then\n    marked manually and measured using a computer-based area measurement tool.\n  <\/p>\n\n  <p>\n    The original 2018 report already estimated a\n    <strong>measurement uncertainty of approximately \u00b115%<\/strong>. The photographs\n    were not taken at a fully standardised distance, angle or leg position, and\n    the wound boundaries were determined manually.\n  <\/p>\n\n  <p>\n    Despite this limitation, the serial measurements show a very clear trend:\n    the total estimated open wound area decreased from\n    <strong>25.08 cm\u00b2<\/strong> at the beginning of monitoring to\n    <strong>15.43 cm\u00b2<\/strong> after five days,\n    <strong>0.20 cm\u00b2<\/strong> after twelve days and\n    <strong>0 cm\u00b2<\/strong> after nineteen days.\n  <\/p>\n\n<\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1120\" height=\"618\" src=\"\/wp-content\/uploads\/2026\/09\/Graf-rana-EN.webp\" alt=\"Graph showing the decrease in the estimated open wound area from 4 to 23 August 2018\" class=\"wp-image-11345\" srcset=\"\" sizes=\"auto, (max-width: 1120px) 100vw, 1120px\" data-srcset=\"\" \/><figcaption class=\"wp-element-caption\">Estimated total open wound area between 4 and 23 August 2018. Measurements: 25.08 \u2192 15.43 \u2192 0.20 \u2192 0 cm\u00b2; stated measurement uncertainty \u00b115%.<\/figcaption><\/figure>\n<\/div>\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=\"2018-08-09\">9 August 2018<\/time>\n    <span>5 days of documented use<\/span>\n  <\/div>\n\n  <h3>Open wound area reduced by approximately 38.5%<\/h3>\n\n  <p>\n    Five days after the start of documented monitoring, the total estimated\n    open area of both wounds was <strong>15.43 cm\u00b2<\/strong>, compared with\n    <strong>25.08 cm\u00b2<\/strong> at baseline on 4 August.\n  <\/p>\n\n  <p>\n    The original post-traumatic wound measured approximately\n    <strong>0.81 cm\u00b2<\/strong>, while the larger secondary damaged area measured\n    approximately <strong>14.62 cm\u00b2<\/strong>. The total open wound area had\n    therefore decreased by approximately <strong>38.5%<\/strong> over five days.\n  <\/p>\n\n  <p>\n    At this examination, the patient also reported that the pain was only\n    occasional and substantially less pronounced than at the beginning of monitoring.\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=\"1500\" height=\"2000\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/9-8-2018.webp\" alt=\"Open wounds on the lower leg on 9 August 2018 after five days of monitoring\" class=\"wp-image-11349\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/9-8-2018.webp 1500w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/9-8-2018-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/9-8-2018-768x1024.webp 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/9-8-2018-1152x1536.webp 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/9-8-2018-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/9-8-2018-600x800.webp 600w\" sizes=\"auto, (max-width: 1500px) 100vw, 1500px\" \/><figcaption class=\"wp-element-caption\">9 August 2018 \u2013 the total estimated open wound area was 15.43 cm\u00b2, approximately 38.5% smaller than at the beginning of monitoring.<\/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=\"2018-08-16\">16 August 2018<\/time>\n    <span>12 days of documented use<\/span>\n  <\/div>\n\n  <h3>From 25.08 cm\u00b2, only 0.20 cm\u00b2 of open wound area remained<\/h3>\n\n  <p>\n    Twelve days after the start of documented monitoring, the original\n    post-traumatic wound was assessed as <strong>closed<\/strong>. Only a small\n    open area of the larger secondary damaged region remained, estimated at\n    <strong>0.20 cm\u00b2<\/strong>.\n  <\/p>\n\n  <p>\n    Compared with the initial total open wound area of\n    <strong>25.08 cm\u00b2<\/strong>, this represented an approximately\n    <strong>99.2% reduction<\/strong> in the estimated open wound area.\n  <\/p>\n\n  <p>\n    According to the record, the patient no longer reported pain at this\n    examination. On the already closed area of the original wound,\n    Smrekovit 365 was introduced according to the protocol used at the time,\n    while the remaining open part of the wound continued to be treated with\n    <strong>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=\"1500\" height=\"2000\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/16-8-2018.webp\" alt=\"Nearly closed wounds on the lower leg on 16 August 2018\" class=\"wp-image-11350\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/16-8-2018.webp 1500w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/16-8-2018-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/16-8-2018-768x1024.webp 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/16-8-2018-1152x1536.webp 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/16-8-2018-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/16-8-2018-600x800.webp 600w\" sizes=\"auto, (max-width: 1500px) 100vw, 1500px\" \/><figcaption class=\"wp-element-caption\">16 August 2018 \u2013 after 12 days of monitoring, approximately 0.20 cm\u00b2 of open wound area remained, representing a 99.2% reduction from baseline.<\/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=\"2018-08-23\">23 August 2018<\/time>\n    <span>19 days of documented use<\/span>\n  <\/div>\n\n  <h3>Both areas were considered closed at that time<\/h3>\n\n  <p>\n    Nineteen days after the start of documented monitoring, the total estimated open wound area was 0 cm\u00b2. Both wounds were\n    considered <strong>epithelialised<\/strong> at that time.\n  <\/p>\n\n  <p>\n    The estimated total open wound area had therefore decreased from the initial\n    <strong>25.08 cm\u00b2<\/strong> to <strong>0 cm\u00b2<\/strong>. Smrekovit Klasik\n    was no longer used on the open wound from that day onward.\n  <\/p>\n\n  <p>\n    According to the 2018 protocol, the patient continued local application\n    of Smrekovit 365 to the closed skin without gauze or covering.\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=\"1920\" height=\"2560\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-8-2018-scaled.jpg\" alt=\"Closed areas of the former wounds on the lower leg on 23 August 2018\" class=\"wp-image-11351\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-8-2018-scaled.jpg 1920w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-8-2018-225x300.jpg 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-8-2018-768x1024.jpg 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-8-2018-1152x1536.jpg 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-8-2018-1536x2048.jpg 1536w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-8-2018-9x12.jpg 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/23-8-2018-600x800.jpg 600w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><figcaption class=\"wp-element-caption\">23 August 2018 \u2013 after 19 days of documented monitoring, both areas were considered epithelialised at that time, with an open wound area of 0 cm\u00b2.<\/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=\"2018-09-01\">1 September 2018<\/time>\n    <span>28 days after the start of monitoring<\/span>\n  <\/div>\n\n  <h3>Follow-up photograph after wound closure<\/h3>\n\n  <p>\n    Nine days after both areas had been assessed as epithelialised, the open\n    wound was no longer clearly visible in the follow-up photograph.\n  <\/p>\n\n  <p>\n    At the sites of the former wounds, <strong>pink, yellowish-brown and\n    pigmented skin changes<\/strong> were still present, consistent with\n    continued remodelling of the new tissue after wound closure.\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=\"1500\" height=\"2000\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/1-9-2018.webp\" alt=\"Follow-up photograph of the closed wound on the lower leg on 1 September 2018\" class=\"wp-image-11352\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/1-9-2018.webp 1500w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/1-9-2018-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/1-9-2018-768x1024.webp 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/1-9-2018-1152x1536.webp 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/1-9-2018-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/1-9-2018-600x800.webp 600w\" sizes=\"auto, (max-width: 1500px) 100vw, 1500px\" \/><figcaption class=\"wp-element-caption\">1 September 2018 \u2013 the open wound is no longer clearly visible; colour and texture changes of the new skin remain at the site of injury.<\/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=\"2018-09-08\">8 September 2018<\/time>\n    <span>35 days after the start of monitoring<\/span>\n  <\/div>\n\n  <h3>The area remains closed<\/h3>\n\n  <p>\n    In the last preserved follow-up photograph, the open wound is no longer\n    clearly visible. The area remained <strong>closed<\/strong>, with no\n    reopening of the wound.\n  <\/p>\n\n  <p>\n    Residual colour and texture changes of the skin are still present, together\n    with a small superficial irregularity in the upper part, but the\n    photographic course confirms that the area remained closed.\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=\"1500\" height=\"2000\" src=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/8-9-2018.webp\" alt=\"Closed area of the former wound on the lower leg on 8 September 2018\" class=\"wp-image-11353\" style=\"width:500px\" srcset=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/8-9-2018.webp 1500w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/8-9-2018-225x300.webp 225w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/8-9-2018-768x1024.webp 768w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/8-9-2018-1152x1536.webp 1152w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/8-9-2018-9x12.webp 9w, https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/8-9-2018-600x800.webp 600w\" sizes=\"auto, (max-width: 1500px) 100vw, 1500px\" \/><figcaption class=\"wp-element-caption\">8 September 2018 \u2013 final follow-up photograph; the area remains closed with no clearly 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  <p>\n    The greatest value of this case lies in the fact that the course was\n    documented not only descriptively, but also <strong>with serial photographs\n    and measurements of the open wound area<\/strong>. This allows substantially\n    more precise monitoring of changes over time than a typical user experience.\n  <\/p>\n\n  <p>\n    At the beginning of documented monitoring, the total estimated open wound\n    area was <strong>25.08 cm\u00b2<\/strong>. After five days it was estimated at\n    15.43 cm\u00b2, after twelve days at 0.20 cm\u00b2, and after nineteen days the open\n    wound area was no longer measurable.\n  <\/p>\n\n  <p>\n    The patient\u2019s age and the presence of <strong>venous and heart failure<\/strong>\n    also provide important context. The severity of both conditions is not\n    objectively defined in the preserved documentation, so their effect on the\n    rate of healing cannot be assessed precisely.\n  <\/p>\n\n  <p>\n    It is also important that documented monitoring did not begin immediately\n    after the injury. The patient had already been receiving medical care for\n    approximately two weeks, and documented use of Smrekovit Klasik began\n    <strong>16 days after the injury<\/strong>.\n  <\/p>\n\n  <p>\n    The course is very clearly associated in time with the period of regular\n    use of Smrekovit Klasik, but a single retrospective case without a control\n    group does not allow the conclusion that the product was the sole or\n    necessary cause of wound closure.\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  <p>\n    The case was reconstructed retrospectively from several preserved sources:\n    <strong>the original 2018 report, a brief questionnaire, dated photographs,\n    measurement appendices and wound-area calculations<\/strong>.\n  <\/p>\n\n  <p>\n    The strongest part of the documentation consists of the serial photographs\n    with a measurement scale and the calculated values of the open wound area.\n    The measurements were made from non-standardised photographs with manually\n    defined wound boundaries, so the original report already estimated a\n    measurement uncertainty of approximately <strong>\u00b115%<\/strong>.\n  <\/p>\n\n  <p>\n    The original medical reports and records of the preceding care are not among\n    the preserved sources. Information about the medical visit, regular dressing\n    changes, and venous and heart failure is therefore based on the preserved\n    questionnaire, the original report and the case data. The severity of the\n    accompanying conditions cannot be defined more precisely.\n  <\/p>\n\n  <p>\n    It also cannot be reliably confirmed that the polyurethane dressing used\n    previously caused the larger secondary damaged area. The temporal sequence\n    is documented, but a causal relationship has not been established.\n  <\/p>\n\n  <p>\n    This is a <strong>single documented observational case without a control\n    group<\/strong>. It therefore cannot establish the causal effectiveness of\n    any individual intervention or predict the same course in 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 can be\n    found 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 procedure for using Smrekovit Klasik with nonwoven gauze,\n    the frequency of dressing changes, and practical instructions can be found\n    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=\"2026-09-03\">\n        3 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=\"https:\/\/www.smrekovit.si\/wp-content\/uploads\/2026\/09\/porocilo_primer_0012018_javni.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\n          Retrospective report on case 0012018\n        <\/a>\n        <span>\n          Smrekovit, 2026 \u2013 documented observational case with photographic\n          and quantitative wound monitoring\n        <\/span>\n      <\/li>\n    <\/ul>\n\n    <h3>Primary documentation sources<\/h3>\n\n    <ul>\n      <li>\n        Original case report, Matic Konc, 10 September 2018\n      <\/li>\n\n      <li>\n        Brief questionnaire for documenting the case\n      <\/li>\n\n      <li>\n        Original dated photographs from 4 Aug, 9 Aug, 16 Aug,\n        23 Aug, 1 Sep and 8 Sep 2018\n      <\/li>\n\n      <li>\n        Photographic and measurement appendices with marked boundaries of the open\n        wound areas and calculated values\n      <\/li>\n\n      <li>\n        Supporting calculation of scale and wound area\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>\n          Smrekovit \u2013 current practical instructions for use with wounds\n        <\/span>\n      <\/li>\n    <\/ul>\n\n    <p class=\"article-footer-meta__note\">\n      The case was retrospectively reconstructed from preserved documentation,\n      photographs and measurements. Measurements of the open wound area were\n      made from non-standardised photographs with manually defined wound boundaries;\n      the original report already estimated a measurement uncertainty of approximately \u00b115%.\n      This is a single documented observational case without a control group,\n      so it cannot establish the causal effectiveness of any individual\n      intervention or allow the outcome to be generalised to other wounds.\n    <\/p>\n\n  <\/div>\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Documented case of a 77-year-old patient with venous and heart failure whose open lower leg wound was monitored after injury using serial photographs and measurements. During 19 days of documented use of Smrekovit Klasik, the estimated open wound area decreased from 25.08 cm\u00b2 to 0 cm\u00b2.<\/p>","protected":false},"author":2,"featured_media":11341,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[153,159,149],"tags":[],"class_list":["post-11338","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\/11338","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=11338"}],"version-history":[{"count":7,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/posts\/11338\/revisions"}],"predecessor-version":[{"id":11414,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/posts\/11338\/revisions\/11414"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/media\/11341"}],"wp:attachment":[{"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/media?parent=11338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/categories?post=11338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.smrekovit.si\/en\/wp-json\/wp\/v2\/tags?post=11338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}