Electrical injuries can result in significant tissue damage due to both thermal and electrical effects. The healing process for these wounds is complicated by factors such as vascular damage, tissue necrosis, and an increased risk of secondary infections. Approximately 3–5% of admissions to burn centers worldwide are due to electrocution injuries. Unlike thermal burns, electrical burns can penetrate deeply into the tissue because of the electrical current, leading to muscle necrosis and vascular injury, along with potential complications such as chronic ulcers. Healing from these injuries often progresses slowly; wounds may stall and necessitate aggressive treatments, including debridement, skin grafting, and additional therapies like hyperbaric oxygen treatment and biological skin substitutes. This clinical case study aims to assess the clinical efficacy of a commercial dehydrated amniotic membrane (dHAM) allograft in promoting wound healing in a chronic, non-healing neuropathic ulcer secondary to a high-voltage electrical injury in arn50-year-old male patient, resulting in extensive burns on his right arm, chest, and left lower extremity that have remained open since the etiologic event. The case report outlines the clinical interventions for wound management strategies using a commercial allograft dehydrated amniotic membrane (dHAM) product that demonstrated the stimulation of the wound healing cascade with a 44% reduction in wound size specifically for the patient’s neuropathic ankle ulcer.
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