Therapeutic Management of Extensive Pressure Ulcers on the Occipital and Parietal Bones Using Stem Cell Therapy

This case study explores the therapeutic management of a severe pressure ulcer in an 89-year-old female patient. Following a stroke and subsequent diagnosis of an inoperable meningioma, the patient experienced a fall that resulted in extensive pressure ulcers on her shoulder blades and cranial area. While the shoulder blade ulcer healed effectively, the cranial ulcer remained stagnant, with dark discoloration of the bone. Initial treatment included gel preparations, followed by innovative stem cell therapy using fibroblasts applied through a specialized cellulose wound dressing, Hcel®NaT. Over a period from May 2014 to January 2016, the application of fibroblasts and continuous use of Hcel®NaT, moistened with a culture medium, facilitated complete healing of the cranial defect. This study demonstrates the potential of stem cell therapy in managing complex pressure ulcers, particularly in cases where traditional treatments have limited efficacy.