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that this system is a quick and effective method for debridement. 39 Furthermore, Clostridial collagenase is a novel enzymatic debridement method and that is reported as tolerable and clinically efficacious in achieving a viable wound bed. However
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treatment . Disabil Rehabil 2008 ; 30 ; 22 : 1666 - 1676 . 83 Chen YJ , Wang CJ , Yang KD , et al. . Extracorporeal shock waves promote healing of collagenase-induced Achilles tendinitis and increase TGF-beta1 and IGF
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Its drawbacks are time and financial cost. Enzymatic debridement involves debridement of necrotic tissue by topical enzymes such as streptokinases, trypsin, papain, fibrinolysin-DNase, collagenase, papainurea and streptodornase. These agents are