Foot, Ankle & Wound Care

Hallux Before

Hallux After

3rd Toe Before

3rd Toe After

51-year-old male presents to the office in February with chronic osteomyelitis and non-healing diabetic wounds to his left hallux and left 3rd toe.

Another doctor recommended a below knee amputation

Dr. Graff performed a gastroc recession and excision of proximal and middle phalanx from the left hallux and an arthroplasty of the 2nd & 3rd proximal interphalangeal joint and flexor tenotomy of the 4th & 5th toes was performed.

The patient is completely healed by mid-June salvaging with total limb salvage.

Diabetic Ulcer Before

Diabetic Ulcer After

The patient suffered from a non-healing diabetic ulcer for 18 months prior to seeing Dr. Graff.

Dr. Graff surgically removed the bony protrusions causing the non-healing wound.  Surgery consisted of

  1. Right, Keller bunionectomy.
  2. Right percutaneous tendo-Achilles lengthening
  3. Right extensor hallucis longus tendon lengthening
  4. Excision of the tibial sesamoid right foot.

The patient is completely healed in 60 days.

Left Heel Diabetic Ulcer Before

Left Heel Diabetic Ulcer After

The 67-year-old male patient suffered from a chronic non-healing left-heel diabetic ulcer prior to seeing Dr. Graff.

Several of the comorbidities included:

  1. Diabetic
  2. Charcot
  3. Rheumatory Arthritis
  4. Hypertension

Dr. Graff performed an Ostectomy of the calcaneus with excision of the ulcer. The patient was completely healed within 3 months after having the surgery.

Big Toe Diabetic Ulcer Before

Big Toe Diabetic Ulcer After

The 61-year-old female patient suffered from a chronic diabetic ulcer on her big toe prior to seeing Dr. Graff.

Several of the comorbidities included:

  1. Insulin Dependant Diabetic
  2. Hypertension

Dr. Graff performed a Keller Bunionectomy and provided aggressive wound care treatment. The patient was completely healed within 3 weeks after having the surgery.

Plantar Diabetic Foot Wound Before

Plantar Diabetic Foot Wound After

The 61-year-old female patient suffered from a chronic diabetic plantar foot wound for three years prior to seeing Dr. Graff.

Several of the comorbidities included:

  1. Insulin Dependant Diabetic
  2. Hypertension
  3. COPD
  4. Asthma

Dr. Graff performed a partial excision of her metatarsal heads and a tendo-achilles lengthening surgery. The wounds were completely healed within 5 weeks after having the surgery.

Ball of Foot Diabetic Ulcer Before

Ball of Foot Diabetic Ulcer After

The 48-year-old male patient suffered from a chronic diabetic ulcer in the ball of his foot prior to seeing Dr. Graff.

Several of the comorbidities included:

  1. Insulin Dependant Diabetic
  2. Hypertension
  3. Hyperlipedmia

Dr. Graff performed a Lapidus procedure, excision of the ulcer, tendo-achilles lengthening surgery, and PRP. The wounds were completely healed within 3 months after having the surgery.