Table 12. Questions to Ask When Dealing with Nonresponse or Recurrence
Is there a failure of wound healing? • Is the patient adhering to the wound care regimen? • Has the wound been adequately debrided? • Has the wound been appropriately dressed? • Has the wound been adequately offloaded? • Is there unidentified or untreated ischemia? • Is the lesion malignant? • Is there undiagnosed or improperly treated infection?
Is there a failure of infection to respond? • Is there unidentified or untreated limb ischemia? • Is there unidentified necrotic soft tissue or bone? • Is there an undrained abscess? • Has the wound been adequately debrided? • Is there osteomyelitis that has not yet responded? • Is there an untreated or an unidentified pathogen? • Is there an antibiotic delivery problem? • Is there an antibiotic non-adherence issue? • Have all metabolic aberrations been corrected?
Figure 1. Schematic Diagram of Cross-Section of the Foot B
2 3 4 5 1
Numbers 1-5 indicate metatarsal bones. A= central plantar space; B= deep interosseous space; C= lateral plantar space; D= medial plantar space.
C
A
D 13
