case_images: PMC7313145_01
case_images: Wound presentation.
case_images: CRIS2020-3971581.001.jpg
case_images: PMC7313145_01_CRIS2020-3971581.001.jpg
case_images: fig1
case_images: The second ulcer was located posteriorly, on the heel of the left foot, 2 cm in diameter, black in color, was superficial and dry, circular with a regular margin, and with no signs of inflammation or infection (Figures 1 and 2).
case_images: Wound presentation.
case_images: CRIS2020-3971581.002.jpg
case_images: PMC7313145_01_CRIS2020-3971581.002.jpg
case_images: fig2
case_images: The second ulcer was located posteriorly, on the heel of the left foot, 2 cm in diameter, black in color, was superficial and dry, circular with a regular margin, and with no signs of inflammation or infection (Figures 1 and 2).
case_images: Distal wound progressively increasing in size.
case_images: CRIS2020-3971581.003.jpg
case_images: PMC7313145_01_CRIS2020-3971581.003.jpg
case_images: fig3
case_images: The other ulcer on the heel of the posterior left foot that progressively increased in size to up to 6 cm in diameter had part of the calcaneus exposed (Figure 3).
case_images: Lateral MRI view of left foot.
case_images: CRIS2020-3971581.005.jpg
case_images: PMC7313145_01_CRIS2020-3971581.005.jpg
case_images: fig5
case_images: These findings were observed with osteomyelitis of the calcaneus (Figure 5).
case_images: NPWT application.
case_images: CRIS2020-3971581.006.jpg
case_images: PMC7313145_01_CRIS2020-3971581.006.jpg
case_images: fig6
case_images: Improvements in wound healing were noticeable (Figures 6 and 7).
case_images: Granulation tissue developed after VAC.
case_images: CRIS2020-3971581.007.jpg
case_images: PMC7313145_01_CRIS2020-3971581.007.jpg
case_images: fig7
case_images: Improvements in wound healing were noticeable (Figures 6 and 7).
case_images: Failed skin graft after application.
case_images: CRIS2020-3971581.008.jpg
case_images: PMC7313145_01_CRIS2020-3971581.008.jpg
case_images: fig8
case_images: Nanoflex powder application.
case_images: CRIS2020-3971581.009.jpg
case_images: PMC7313145_01_CRIS2020-3971581.009.jpg
case_images: fig9
case_images: Lastly, Nanoflex powder (Altrazeal, Uluru, Inc., Addison, Texas, United States) was applied to the entire bed of the clean moist wound to form a thin, uniform layer; a spatula used to create an even matrix, and then saline was poured to accelerate dressing transformation (Figure 9).
case_images: Wound completely closed after Nanoflex powder.
case_images: CRIS2020-3971581.010.jpg
case_images: PMC7313145_01_CRIS2020-3971581.010.jpg
case_images: fig10
case_images: Finally, the wound was covered with a transparent film dressing, leading to complete wound healing within one month of treatment (Figure 10).
case_images: Rigid ankle brace was used to stabilize the ankle.
case_images: CRIS2020-3971581.011.jpg
case_images: PMC7313145_01_CRIS2020-3971581.011.jpg
case_images: fig11
case_images: Therefore, a rigid ankle brace was used to stabilize his ankle (Figure 11).