The wounds were previously treated with operative debridements, followed by wound VAC application. Initial treatment at our center
included debridement of the wounds with incisional skin biopsy,
followed by application of a split thickness skin graft. The right foot
healed uneventfully, while the left skin graft did not take

The pathology report suggested the etiology to be vasculitis (unidentified type). At this point, tendons were exposed in
the wound, and the decision was made for further debridement with excision of the tendons

Application of INTEGRA™ Bilayer Matrix Wound Dressing. Three weeks later, the dressing had taken and was flush with the skin

A split thickness skin graft was again attempted

On second attempt, the skin graft had taken, and healed uneventfully