Guthrie’s Center for Wound Care and Hyperbaric Medicine provides a specialized, comprehensive course of therapy to assist in healing complex wounds. With 6,000 encounters a year, Guthrie is proud to have a 95% healing rate. Our team of physicians and certified nurses utilize advanced technology to wound healing which include individualized wound treatment such a total contact cast (TCC), Vacuum Assisted Closure (VAC), MIST therapy, bio-synthetic skin substitute and hyperbaric oxygen therapy.

Some of the indications for wound care therapy include the treatment of chronic, non-healing wounds such as:

  • Diabetic wounds
  • Peripheral vascular disease, circulatory-related wounds (ischemic wounds, gangrene)
  • Venous stasis ulcers
  • Decubitus ulcers (pressure sores or bedsores)
  • Burns
  • Compromised skin grafts and flaps
  • Crush injuries
  • Osteomyelitis (bone infection)
  • Ostomy-related skin problems and wounds
  • Radionecrosis (soft tissue and bone damage due to radiation therapy)
  • Refractory osteomyelitis (recurrent bone infection)
  • Soft tissue necrosis (death of muscle or skin tissue) with infection
  • Traumatic wounds

Hyperbaric Oxygen Therapy

Hyperbaric oxygen therapy is a treatment in which the patient breathes 100% oxygen inside a pressurized chamber. The therapy quickly delivers high concentrations of oxygen to the bloodstream, assisting in the healing process of wounds and the fight against infection. Therapy is administered daily and the number of therapies patients receive depends on their diagnosis.

Individualized Wound Treatment

  • Total contact cast (TCC) – A lightweight, fiberglass short leg cast to off-load diabetic foot ulcers.
  • Vacuum Assisted Closure (VAC) – Consists of applying negative pressure to the surface of the wound through foam connected to a small pump. This will remove bacteria and drainage while stimulating wound repair.
  • MIST therapy – Consists of low frequency non-contact ultrasound aimed at the surface of the wound through a mist of salt water. This will help to kill bacteria and stimulate wound repair.
  • Bio-synthetic skin substitute – Consists of manufactured human skin cells which are applied to proper wounds to stimulate the healing process.

Cast Removal

Total Contact Casts (TCCs) are used in Wound Care to promote healing by minimizing pressure and friction at the wound site.  The cast is "in total contact" with the foot and lower leg to redistribute weight away from the wound.  It allows for healing even while walking.  These casts are removed in wound care weekly or more frequently as determined by the physician.  In the event of an emergency, the cast can be removed by following the instructions outlined in the Patient Instruction Guide.  Click here to view.