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The patient also had a sloughy right heel ulcer.
The left heel ulcer measured 1.0 cm in diameter.
Currently, free flaps and pedicled flaps are the first treatment choices for large heel ulcer reconstruction.
The right heel ulcer was larger and probed to bone (Stage IV).
The left heel ulcer (Stage III) was 50% yellow slough and 50% granulation tissue.
The source of sepsis was thought to be the necrotic heel ulcer; wound débridement was performed on March 30.
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This paper describes a biomechanical investigation of heel ulcers using a theoretical model that characterizes the internal mechanical loading at the soft tissues of a supported heel.
Heel ulcers are common, dangerous and costly, but their etiology is poorly understood and no biomechanical studies were conducted to explore it.
The modeling demonstrated that atypical foot anatomies characterized by heavy-weight foot, sharp posterior calcaneus and thin soft tissue padding are theoretically more prone to heel ulcers.
This paper therefore demonstrated that a biomechanical theory can be used to explain and interpret clinical and epidemiological findings related to heel ulcers.
Diabetes and edema at the feet were also predicted to impose risks for heel ulcers, which agrees very well with clinical observations.
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