Abstract
A 61-years-old woman who had been receiving hemodialysis for diabetic nephropathy developed sensory disturbance in her lower leg.
Her right plantar area had been burned by a heater two years previously. She has been treated for the wound at a local clinic for two years, but as healing had been unsuccessful, she consulted us. Destruction of the MP-joint of the big toe was observed on X-ray examination. Curettage of arthritis purulenta was performed. After surgery, the patient wore a decompression brace and the ulcer was sprayed with trafermin.
The intractable plantar ulcer was healed 7 months after surgery.
