Use and Limitations of Dextranomer in Cutaneous Ulcerations

In an attempt to evaluate the limitations and utility of dextranomer, 39 patients with a variety of cutaneous ulcerations were studied. Highly exu dative venous stasis ulcers (11 patients) responded best, with clearing of superficial infection within 48 hours and development of granulation tissue in the ulcer bed within 5 days. Nonexudative venous stasis ulcers (7 patients) responded more slowly to this therapy. Ischemic ulcerations and pressure sores as well as ulcers containing bone or tendon were not improved by dextranomer therapy. Rapid relief of pain and uniform patient acceptance of the method of treatment recommend it for further evaluation.