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Wound images on his admission.
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He also had an induration of the right leg and the distal portion and inner right thigh (Fig. 1).
Magnetic resonance imaging (MRI) of the leg showed an osteoarthritis of the midfoot and a talocrural joint effusion associated with a serious loss of skin substance at level of the dorsum foot.
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Magnetic resonance imaging (MRI) of the leg showed an osteoarthritis of the midfoot with hypointense on T1 and hyperintense on T2 of midfoot and a talocrural joint effusion (Fig. 2) associated with a serious loss of skin substance at level of the dorsum foot, the lateral malleolus, the talus bone, the right foot muscles, and tenosynovitis of posterior tibial tendon (Fig. 3).
Wound images at one month of thirty hyperbaric oxygen sessions.
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The clinical outcome noted a rapid improvement with persistence only of a clean and healthy wound on the back of the feet after 30 sessions of hyperbaric oxygen treatment (Fig. 4).