PMC3785356_01
PMC3785356_02
PMC3785356_03
Plantar surface of the foot at time of pre-surgical evaluation.
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On the plantar surface of the left foot, there was an ulcer approximately three by five centimeters in the midfoot area and an area of necrotic tissue approximately five by five centimeters distal to that (Fig. 1).
Immature flap and graft over plantar surface of left foot at the time of initial physical therapy evaluation.
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The graft used in the reconstruction was immature and rounded over the plantar surface of the foot (Fig. 2).
Custom made pressure garment for left foot and ankle.
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The patient was referred to occupational therapy for a custom measured pressure garment for the foot and ankle (Fig. 3).
Plantar arch of left foot after remolding with garment and arch support.
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At the conclusion of therapy, the patient was able to wear size 8 shoes on both feet (Fig. 4).