Fig. 20.1 Common locations of pressure or trophic ulcers of lower limb. Heel is the most common site of pressure or trophic ulcer (a–c), as this portion is the most…

Fig. 26.1 Wound around knee where exposed bone require a flap and rest can be managed by split skin graft 26.2 Split Skin Graft For below-knee defect, ipsilateral thigh is…

Information to be documented  1. Date and time of assessment  2. Type of wound and underlying etiology  3. Factors that could delay wound healing  4. Location of wound  5. Duration…

Fig. 27.1 Gangrene of multiple toes requiring amputation in diabetic foot ulcer Fig. 27.2 Gangrene of toes with infection and tissue necrosis 27.2.2 Ulcer with Atherosclerosis Ulcers develop in atherosclerosis…

Fig. 5.1 Gluteal region Fig. 5.2 Nervous anatomy of lower limb The following structures emerge from the pelvis through greater sciatic foramen into the gluteal region: 1. Above the piriformis…

Types of NF Etiology Organism(s) Clinical progress Mortality Type I (70–80 % cases) Polymicrobial/synergistic, often bowel flora derived Mixed anaerobes and aerobes More indolent, better prognosis, easier to recognize clinically…

  B. Impaired healing of wound:   8.8 Infective Causes of Ulcer 8.8.1 Infectious Causes of Limb Ulcers Ulceration in the lower extremity may be due to infectious agents. Diverse…

Arterial occlusion  Peripheral arterial disease (arteriosclerosis)  Diabetes  Arterial thrombosis ⁄ macrothromboembolism and microthromboembolism (fibrin, platelets)  Fat embolism (hypercholesterolemia, hyperlipidemia)  Detachment of cholesterol-containing plaques from aorta, aneurysm, or atrium (atrial fibrillation)…

Fig. 23.1 Melanoma, back of thigh Fig. 23.2 Superficial spreading type Fig. 23.3 Nodular melanoma with ulcer fixed to the bone   23.7 Staging of Melanoma The clinical staging of…

Fig. 15.1 Large foot ulcer in lymphedema of the lower limb stage IV. This ulcer requires debridement and long-term topical therapy concurrently with procedures for decrease of edema of the…