Review Question - QID 210278

A 35-year-old male presents 6 weeks following open reduction and internal fixation of the injury shown in Figures A and B performed through a sinus tarsi approach. He is a 1/2-pack-per-day smoker and his body mass index (BMI) is 25. He last presented 3 weeks ago at which time his wound appeared healed, and the sutures were removed. Physical therapy was also initiated for gentle range of motion exercises. He reports that his main surgical incision "opened up" a few days ago and has been draining. He denies fevers or chills at this time. On physical exam, he has a small, 1 cm area of wound dehiscence with no exposed hardware. His current radiograph is shown in Figure C. Which of the following combines the risk factors this patient has for wound dehiscence with the next best step in treatment?