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Advanced Wound Care

Richard Hochman DPM, LLC

Podiatry & Alternative Medicine located in Miami, Coral Gables, FL

What are Ulcers?

Foot and Leg ulcers are wounds, or sores, that do not heal. Often, foot and leg ulcers are a result from a heart or vascular condition, or other health problems.

What causes leg ulcers?

Causes of leg ulcers include:

Chronic venous insufficiency: Chronic venous insufficiency occurs when faulty valves in leg veins allow blood to flow backward into the leg where it pools. If you develop high blood pressure in the leg veins, tiny blood vessels (capillaries) can burst, causing inflammation, itching and dry skin. Leg ulcers develop when the skin breaks open.

Diabetes: High blood sugar levels from diabetes can cause fat deposits to form inside blood vessels, causing them to narrow. Reduced blood flow can cause nerve damage or diabetic neuropathy. With these nerve problems, you may not be able to feel a leg ulcer or know it’s there. Diabetes also slows the wound healing process.

Peripheral artery disease (PAD): This condition causes plaque (fatty deposits) to build up in the arteries (atherosclerosis). The blood vessels in the leg become narrow, leading to poor blood circulation. The reduced blood flow slows the healing of leg ulcers. People with diabetes are more likely to develop PAD.

High blood pressure: Chronic, poorly controlled high blood pressure (hypertension) can cause an extremely painful ulcer on the lower leg called a Martorell ulcer. High blood pressure causes the capillaries in the skin to become narrow, cutting off the blood supply to the skin. The skin can die, forming a leg ulcer.

When an ulcer does not heal, you may need advance wound care management using new biologics materials.

Below are examples of some of these commonly used in our office.  

Wound Care Products Provided

What is WoundFix™?


WoundFix™ is a natural wound-focused biologic that utilizes powerful rich extracellular matrices naturally found in human amniotic tissues. These human amniotic tissue transplants may provide your body with the foundation it needs to repair itself. Common clinical examples include, but are not limited to:

  • Comorbid patients with complex defects or delayed healing
  • Diabetic foot ulcers (DFUs)
  • Venous leg ulcers (VLUs)
  • Debridements
  • Pressure ulcers

Where does WoundFix™ come from?

WoundFix™ is derived from naturally rich human placental tissues, donated by volunteer U.S. based donors after a live, healthy C-section delivery.

How do I know if WoundFix™ is right for me?

Human amniotic tissues have been reported to be effective in the clinical treatment of various conditions. Consult your physician to determine if WoundFix™ is right for your condition.

WoundFix™ products are uniquely processed with HydraTek®, by Human Regenerative Technologies, LLC(HRT). HydraTek® provides advanced preservation and an outstanding standard of safety, through its stringent donor screening, tissue testing, and strict quality control. All testing and safety standards meet or exceed the FDA requirements.

HydraTek® obtains its source tissues from healthy mothers who are under the care of a licensed OB/GYN physician at a partner facility. No maternal or fetal tissues are collected during the process. Intensive safety testing is used to screen both the donor and donated tissues before processing.



What is BIOVANCE? 

BIOVANCE is an allograft—material made from donated human tissue—used to help heal a stalled chronic wound.

BIOVANCE is derived from the inner lining of the human placenta, which helps nourish a baby during pregnancy. The placentas used in the manufacture of BIOVANCE are donated by consenting women following a healthy, full-term pregnancy and live birth.

All placenta donors are tested for infectious diseases before the donation process. Once the baby of an approved donor has been delivered, the placenta is collected and sent to a Cellularity lab for purification and processing. At the lab, the placenta is washed and sterilized, and all of the donor’s living cells are removed.

BIOVANCE is regulated by the United States Food and Drug Administration (FDA) and the processing facility is accredited by the American Association of Blood Banks (AABB).

How Does BIOVANCE Work?

BIOVANCE provides a natural foundation for wound healing. Key cells and proteins move into the BIOVANCE material so that tissues can regenerate and wounds can continue to heal.


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