In June 2006, a 54-year-old Caucasian female was referred to the Department of Podiatric Surgery by the hospital podiatrist for debridement of a long-standing, over-granulating ulcer to the left heel. She reported a history of a painful, spontaneous heel ulceration approximately 1 year prior and had noted that the ulcer had increased in size. Prior to the referral, the individual had been seen since March 2006 by her primary care team for regular re-dressings and offloading that had failed to improve healing.
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