Diagnosis: Status post Charcot reconstruction with external fixation, Wound of right foot
Procedure performed: Right foot: #1 removal of external fixation #2 debridement of wound 2×3 (same foot) consisting of excisional debridement of skin, subtenons tissues portion of the fascia. #3) application of a well-padded short leg splint
The external fixator was removed in total. 2 half pins were removed as well as a trans-calcaneal pin and multiple smooth wires.
Extremity was then prepped, draped, and usual aseptic sterile manner. Patient has edema and venous insufficiency noted to the leg with verrucous hyperplasia nonhealing wound noted at approximate 2 x 3 cm. This was debrided consisted of excisional debridement of skin subtenons tissues portion of the fascia. Remenant of retained suture was removed. Then further debrided utilizing a curette. No purulence no clinical signs of infection were noted. At this time we pulse lavaged the wound out with 3 L normal saline. Please Xeroform over the wound followed by dry dressings and placed the patient in a well-padded posterior splint
Any help would be great!