Case study · Fourth and fifth toe gangrene
Toe gangrene: preparing a high-risk wound bed
Left fourth- and fifth-toe gangrene in a patient with peripheral arterial disease and multiple significant comorbidities.
01
Presentation
02
Clinical care
03
Follow-up
Clinical context
Presentation and assessment.
45-year-old male. The record notes prior angioplasty and iliac stenting for tibial occlusion, with CAD, CVD, COPD, CKD and a recorded ejection fraction of 15%.
Care pathway documented in this case
- Fourth- and fifth-toe amputation
- Collagen sheet for wound-bed preparation
- Further definitive wound-care planning
Outcome & follow-up
Progress is recorded with context.
The presentation documents a wound bed ready for the next stage of care within 48 hours.
This is a consent-led clinical record. Individual treatment pathways and outcomes vary for every patient.
A qualified clinician must assess an individual wound, circulation, sensation and infection risk before recommending care.
Clinical image record
The documented care journey.
Images are shown as part of the clinical record and should be viewed with respect for patient privacy and context.
A considered next step
Every case needs its own assessment and plan.
This record illustrates one patient journey. Speak with the MMC team to understand what assessment and care may be appropriate for your situation.