Tibal Ulceration Thrid Degree with Gangrene

– Very diffcult to treat.
– Lack of blood supply
– Skin coverage is very minmal over Tiba
– Infection and osteomyelitis
– Prognosis poor
– Antibiotic coverage for gram postive and negative microorganisms
– Debridment primary and secondary
– Full thickness skin graft to area
– Minmal weightbearing times 6 weeks
– Dermasyn cream and wash foundation to treatment