PMC7313145_01
Wound presentation.
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The second ulcer was located posteriorly, on the heel of the left foot, 2 cm in diameter, black in color, was superficial and dry, circular with a regular margin, and with no signs of inflammation or infection (Figures 1 and 2).
Wound presentation.
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The second ulcer was located posteriorly, on the heel of the left foot, 2 cm in diameter, black in color, was superficial and dry, circular with a regular margin, and with no signs of inflammation or infection (Figures 1 and 2).
Distal wound progressively increasing in size.
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The other ulcer on the heel of the posterior left foot that progressively increased in size to up to 6 cm in diameter had part of the calcaneus exposed (Figure 3).
Lateral MRI view of left foot.
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These findings were observed with osteomyelitis of the calcaneus (Figure 5).
NPWT application.
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Improvements in wound healing were noticeable (Figures 6 and 7).
Granulation tissue developed after VAC.
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Improvements in wound healing were noticeable (Figures 6 and 7).
Failed skin graft after application.
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Nanoflex powder application.
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Lastly, Nanoflex powder (Altrazeal, Uluru, Inc., Addison, Texas, United States) was applied to the entire bed of the clean moist wound to form a thin, uniform layer; a spatula used to create an even matrix, and then saline was poured to accelerate dressing transformation (Figure 9).
Wound completely closed after Nanoflex powder.
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Finally, the wound was covered with a transparent film dressing, leading to complete wound healing within one month of treatment (Figure 10).
Rigid ankle brace was used to stabilize the ankle.
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Therefore, a rigid ankle brace was used to stabilize his ankle (Figure 11).