Fig. 1. (A) Infective diabetic foot ulcer classified as Texas grade B-stage 3 wound undergoing surgical debridement. (B) Granulation tissue was formed after surgical treatment and vacuum-assisted closure application for 6 weeks. Achilles tendon and marginal infective tissue were seen. (C) Second surgical management was done; Direct closure was done for distal longitudinal wound and debridement was done around Achilles tendon, intractable wound. (D) Full-thickness skin graft which was harvested at ipsilateral inguinal area was done. (E) No significant steno-occlusive lesion.
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