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18-CLI-2210 CS Interfyl Pdf Dwnlds B
Presentation
Background: Diabetic neuropathic plantar hallux ulcer of the right foot
Initial treatment: Treated initially with oral Levofloxacin 30 days until cultures negative for bacteria. Local care with silver hydrogel and hydrofiber packing
Findings: Tunneling ulcer through medial to plantar to lateral hallux. Tendon exposed. Bone palpable but not visible. Loss of subcutaneous fat plantar tuft
Pre-op x-rays: Negative for fracture or osteomyelitis
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