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J Am Col Certif Wound Spec. 2011 Mar 15;2(4):79-85. doi: 10.1016/j.jcws.2011.02.003. eCollection 2010 Dec.

A review of cyanoacrylate liquid skin protectant and its efficacy on pedal fissures.

Author information

1
Temple University School of Podiatric Medicine, Philadelphia, PA 19107, USA.
2
Medline Industries, Inc., Mundelein, IL, USA.

Abstract

INTRODUCTION:

Skin fissures are a common dermatologic condition caused by excessive dry skin, numerous systemic diseases, and backless shoe gear. They are defects in skin that fall into the category of damaged, partial-thickness skin wounds, as opposed to full-thickness wounds. Patients with heel fissures are at an increased risk for developing infection, which could cause more severe issues, especially in patients with diabetes and peripheral vascular disease.

METHODS:

Five patients from Temple Foot and Ankle Institute, Philadelphia, PA, with a total of 8 heel fissures and 2 hallux fissures, were studied. Patients were dispensed 9 vials of a cyanoacrylate liquid skin protectant (Marathon(™), Medline Industries, Inc, Mundelein, IL) to be applied to the fissure every 3 days. Patients returned every 2 weeks for follow-up in clinic.

RESULTS:

The hallux fissures and 4 of the heel fissures went to complete closure after 2 weeks. There was an average decrease of 1.16 cm in length of the heel fissure dimensions after 2 weeks and an average decrease of 1.1 cm in length of the hallux fissures.

CONCLUSION:

This novel skin protectant proved to be a comfortable, easy, and effective tool in aiding the resolution of pedal skin fissures.

KEYWORDS:

Partial-thickness skin damage; Skin; Skin fissure; Skin protectant

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