Management of Dehisced Wounds With Exposed Spongiosa With Modern Dressings: A Case Report

In this case report, we present the management of a complex wound with an exposed spongiotic sacral bone following surgical dehiscence after bilateral sacroiliac fixation in a 27-year-old patient. Surgical reconstruction was not an option due to the patient's comorbidities. The wound was successfully treated with a combination of MedCu (MedCu Technologies, Herzliya, Israel) and Vacutex (Protex Healthcare, Roeselare, Belgium). A rapid formation of granulation tissue was observed within 10 days, which covered the bone within a few days and led to complete wound closure after a total of four months of treatment. This case highlights the value of advanced wound care technologies as an important alternative for patients who are unable or unwilling to undergo further surgery. It demonstrates that such approaches can facilitate effective wound healing, minimise complications, and significantly improve patients' comfort and quality of life without exposing them to the risks associated with surgery.