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Presentation
Background: Diabetic neuropathic plantar foot ulcer sustained over 1 year
Initial treatment: Conservative: hydrogel, collagen, foam bandage. No offloading Surgical: partial sesamoidectomy with wide excisional wound debridement and closure
Findings: Vascular studies showing adequate perfusion. Cultures negative
Pre-op x-rays: Showed hypertrophic sesamoid. Negative for osteomyelitis
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