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Julian Omidi, MD; George T. Nahass, MD

Arch Dermatol. 1996;132(9):1007-1008.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 60-year-old, generally healthy, white woman with borderline hypertension underwent hallux valgus repair, hammertoe correction, and bunionectomy of her left foot. The postoperative period was uneventful except for mild pneumonia, which was successfully treated with amoxicillin. Within 2 weeks of the procedure, an nonexudative shallow erosion, 1x1 cm in diameter, developed on the posterior aspect of the patient's foot, overlying the Achilles tendon proximal to its attachment to the calcaneus. Conservative therapy consisting of mechanical scrubbing and an elastic compression bandage did not heal the wound.

Six weeks after the operation, the erosion had progressed to a full-thickness, painful ulcer exposing the Achilles tendon. Whirlpool therapy, oral antibiotics, and a variety of local regimens including topical antibiotics (eg, neomycin sulfate and silver sulfadiazine cream) were tried, without success. A workup to uncover the underlying reasons for the poor wound healing, including Doppler examination of the lower . . . [Full Text PDF of this Article]

Author Affiliations
St Louis University Health Sciences Center, St Louis, Mo

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