Wound Care Specialists in Plano, TX
Graff: Foot, Ankle, Wound care treats wounds and their cause through expert clinical and surgical training providing specialized treatment for chronic or non-healing wounds. Our comprehensive approach and individualized treatments in wound healing and limb salvage surpass traditional methods of care.
Interventional vascular care by in-house cardiologist, infectious disease and IV antibiotics promotes faster healing of chronic wounds and decreases the risk of complications.
Custom shoes and braces are also specifically designed to offload the patients wound area and conform to their foot type.
At Dr. Graff’s Foot, Ankle, and Wound Center, we believe the best results are obtained for our patients when we implement the close collaboration and combined efforts of our multidisciplinary team. We bring together our expert physician for the treatment of acute and chronic wounds. This allows us to deliver a superior level of support for both wound care and limb salvage patients.
Specialized Foot and Ankle Wound Care
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Wound care conditions and services
At Dr. Graff’s wound care center, we provide treatments for several wound care conditions.
Wound care conditions include:
Diabetic wounds and foot ulcers
Diabetic wounds or foot ulcers are open wounds or sores that occur in patients with diabetes. It is commonly located at the bottom of the foot. Diabetic foot ulcers are a result of poorly controlled diabetes which leads to the formation of skin tissues that break down and expose the underlying layers. Diabetic foot ulcers can affect the layers of your skin down to the inner bones.
Pressure ulcers
Pressure ulcers are injuries to the skin and the underlying tissue that results from pressure exerted on the skin for a long period of time. Pressure ulcers often develop in bony areas of the body that are covered with skin such as the ankles, heels, hips, and elbows. When pressure is exerted on the skin by the bone for a long period of time, it may lead to pressure ulcers. Staying or lying in a particular position for a very long period of time can lead to pressure ulcers. Most people with certain conditions that can’t change their positions or are mandated to keep to a particular position for a long period of time are more at risk of pressure ulcers.
Venous stasis ulcers
Venous status ulcers are wounds that occur due to improper functioning or damage to the venous valve. The veins have one-way valves known as venous valve that keep blood flowing toward the heart. When the venous valve is damaged or not functioning well, blood is no longer able to flow upwards towards the heart. The blood then pools in the veins in the leg, leading to venous ulcers. The damaged or improper functioning of the veins in the leg leads to poor blood circulation which leads to venous stasis ulcers. Venous ulcers usually develop along the medial distal leg. Obesity, blood clot, aging, and injuries can damage the venous valve or veins.
Skin tears
A skin tear is a wound that occurs when layers of skin tear or separates. When the top layer of the skin (epidermis) separates from the underlying layer (dermis), a partial skin tear occurs. When both the epidermis and dermis separates from the underlying tissues, a full skin tear occurs. Skin tear can occur on the back of the hand, arms, elbows, and areas of the body with thin skin. Skin tear can be caused by injuries, bruises, washing or drying the skin harshly.
Traumatic injuries
Traumatic injuries are serious or life-threatening injuries that occur due to a sudden event such as accident, fall, shock, or gunshot. Traumatic injuries usually require immediate medical attention or resuscitation and interventions to save the life of the patient. Traumatic injuries may affect different parts of the body, including the brain, hands, legs and internal organs of the body. Traumatic injuries can result in shock trauma that can affect the patient physically, psychologically, and emotionally.
Gangrene
Gangrene refers to the death of body tissues that are caused by lack of blood or serious infection. Loss of blood supply to a particular part of the body can lead to the death of tissues in that part of the body. Gangrene commonly affects the hands, legs, toes, fingers, and limbs. It can also affect muscles and internal organs with loss of blood supply. Gangrene commonly develops due to an underlying medical condition such as diabetes, blood vessel damage, or hardened arteries. These conditions may hinder the flow of blood to particular areas of the body, leading to Gangrene.
Post-surgical incisions
Post-surgical incisions or wounds are non-healing incisions after a surgical operation. Some certain complications or side effects can prevent surgical incisions from healing.
Radiation wounds
Radiation wounds or ulcers are wounds that are caused by the acute or chronic effects of ionizing radiation or therapeutic radiation. The wound may involve the skin, underlying soft tissue, or deep structures in the body such as bone.
Burns
Burns are damage to the skin or deeper skin tissues that are caused by fire, hot substances, extreme cold, radiation, harsh chemicals, sun, or electrical currents. Burns are also severe skin damage that causes the affected skin cells to die. The severity or degree of burns depends on the size and depth of the burns.
Severe anemia
Anemia is a condition that occurs when your blood doesn’t have enough red blood cells to carry adequate oxygen throughout your body. When this happens, your body tissues lose oxygen. Anemia may occur when your body doesn’t make enough red blood cells, destroys red blood cells, or when you bleed and loses red blood cells more than you can replace them. Anemia can be temporary or long-term. It can also be mild or severe. Severe anemia is a severe condition whereby you have very little or no red blood cells to carry oxygen to your body tissues.
Wound Care Services:
At Dr. Graff wound care center, we provide a variety of services which include:
Bio-Engineered Skin Grafts/Substitutes
We provide bio-engineered skin grafts/substitutes whereby we use bio-engineered skin that resembles human skin in structure and function. We use these bio-engineered skin substitutes to close wounds, reduce pain, promote healing, and eliminate the need for surgical skin grafts. Our bio-engineered skin graft treatments are even safer and efficient than surgical skin grafts.
Chronic Wound Evaluation and Consultation
Chronic wounds are wounds that do not heal on time. They do not improve or progress through a normal, timely, and orderly manner of sequence of repair and healing. Chronic wounds are often incorrectly diagnosed and treated. At Dr. Graff’s wound care center, we provide comprehensive evaluation and consultation for patients with chronic wounds. We conduct vascular assessments of chronic wounds including documentation of wound location, size, depth, drainage, and tissue type. We evaluate the exact cause while the wound is not healing and provide the right treatments.
Compression Therapy
Compression therapy is a simple and effective way of increasing blood flow in your legs. Compression therapy is done by applying pressure on the leg tissues to increase blood circulation. It involves wearing compression socks or stockings that are specially designed to support your veins and increase circulation in your legs. We provide compression therapy and help to increase blood circulation in your legs.
Debridement
Debridement is a procedure whereby dead, damaged, and infected tissues are removed from the surface of a wound to aid healing of the wound. At Dr. Graff’s wound care center, we provide debridement to facilitate wound healing. Removal of the dead, damaged or infected tissues may be through surgical, mechanical, chemical, or autolytic means.
Diabetic Foot Wound Assessment
Successful treatment of diabetic ulcers requires a complete understanding of the underlying causes. Changes in both the large and small blood vessels of diabetic patients can significantly reduce tissue perfusion which increases the likelihood of delayed healing. We provide complete diabetic foot wound assessment to understand the underlying cause of the wound in order to provide the best treatments.
Hyperbaric Oxygen Therapy
Hyperbaric oxygen therapy is a treatment aimed at increasing the oxygen content in your blood to increase healing. At Dr. Graff’s wound care center, we provide hyperbaric oxygen therapy by placing patients with non-healing wounds, serious infections, and certain medical conditions into a pressurized oxygen room so that they can breathe in 100% pure oxygen. An increase in blood oxygen helps to restore normal levels of blood gases and tissue function which promotes healing. Patients with severe burns, non-healing wounds, severe anemia, decompression diseases, carbon-monoxide poisoning, gangrene, radiation injuries, and so on, may benefit from hyperbaric oxygen therapy.
Negative Pressure Wound Therapy
Negative pressure wound therapy is a method of drawing out fluids and infections from a wound with the use of a suction pump to promote healing. We provide negative pressure wound therapy and patients with acute or chronic wounds, second or third-degree typically benefit from this therapy.
Non-Invasive Vascular Testing
Non-invasive vascular testing involves using various types of technology to evaluate blood flow in your arteries and veins. The aim of this testing is to provide valuable information that we can use to find and evaluate arterial disease.
Specialty Wound Dressings
Specialty wound dressings are multilayer wound covers that provide a semi-adherent quality or a non-adherent layer that is combined with highly absorptive layers of fibers and designed to minimize exudates or fluid outflow. We have wound care specialists that provide specialty wound dressings to facilitate the healing of wounds.
Treatment of Bone, Skin & Wound Infections
At Dr. Graff’s wound care center, we provide the best treatments for bone, skin, and wound infections. We have the best medical team and equipment required to provide you with the most effective and safer treatment for bone, skin, and wound infections.
Wound Cultures and Biopsies
A wound culture is a diagnostic laboratory test that is done to identify microorganisms such as bacteria, fungi, or a virus that may be present in the wound. The presence of any of these microorganisms in your wound can prevent the wound from healing or cause serious infections. We provide wound cultures and biopsies in order to identify the bacteria, virus, or fungi that may be present in your wound. Biopsies are harvested from the wound and taken to the lab for further examinations.
Wound Diagnostic, Assessments, and Treatments
At Dr. Graff’s wound care center, we provide wound diagnostic and assessments before administering the best treatments. We provide wound diagnostic and assessments so that we can know the cause of the wound and the nature of the wound. We take you through different diagnostic and assessment processes so we can be absolutely sure of the proper and best treatments for your wound.