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Review Question - QID 215102

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QID 215102 (Type "215102" in App Search)
A 55-year-old man with type 2 diabetes has the ulceration seen in Figure A. His BMI is 36, HbA1c is 8.1, albumin is 3.8, and the WBC count is 6,500. His foot is plantigrade without apparent deformity. There is no evidence of infection. Examination reveals ankle dorsiflexion 10 degrees shy of neutral with the knee extended that does not improve with knee flexion. Despite shoe wear modification, orthotics, local wound care, and 3 months of total contact casting, the ulcer has not healed. Which of the following interventions would most improve the likelihood of ulcer healing?
  • A
  • A