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While the fundamental principle of wound care is regular and frequent wound debridement, wounds are often too painful for clinic debridement, are in precarious places on the foot/ankle or they are within a deep cavity.3 There are several treatment modalities for chronic wound debridement including surgical, enzymatic, maggot, mechanical or autolytic debridement.
The use of ultrasonic debridement is a more recent option that is now available.
For the foot and ankle surgeon, ultrasound debridement is a valuable modality for several reasons. It aids in biofilm destruction and removal; allows for surgical preparation of a wound bed prior to initiation of advanced wound care therapies; and facilitates easy excision of all non-viable soft tissue and bone.
The indications for ultrasonic debridement therapy include chronic, slow or non-healing ulcers that would benefit from OR debridement. These include a wide variety of etiologies including diabetic ulcerations, venous stasis wounds, pressure ulcers, traumatic wounds and burns.
Ultrasonic debridement is also beneficial for treating wounds that are in locations that are difficult to access with sharp debridement and those wounds with deep cavities. Deep cavities may harbor bacteria and if one does not eradicate the bacteria with debridement, these wounds will almost always have difficulty healing.
With the current literature, ultrasonic debridement is clearly a viable adjunct for wound healing in a variety of clinical settings.