What alternative surgeries exist for non diabetic ulcer on sole of the foot vs skin graft. i'm offloading in cam walker daily for 5 years. need help?

Foot Ulcers: There are only a few factors that cause ulcers not to heal-5 years is FAR too long to have a non healing ulcer. Conditions that cause ulcers not to heal include infection and/or underlying bone infection, Poor vascularity, Pressure on the wound (A CAM walker alone may not be enough to off-load the area) and nutritional deficiency. A graft will not work if any of these are present.

Depend: it is really depend on the size of the ulcer, and the depth and the staging of the ulcer, and last if the ulcer is necrotic,or infected. Debridment of the necrotic and infected tissues is essential for the ulcer to heal. Skin coverage could varies to many options including skin graft. You can discuss the different options with your surgeon,general,vascular,foot,or orthopedist

What in the world.: There are many ways to close non-diabetic wounds on the foot. For yours to go on for 5 years means that you need to find a new doctor, unless you are being non-compliant with his recommendations. A great wound care clinic that offers Infectious disease specialists, orthopedic surgeons, podiatrists and wound care specialists may be the best option at this time. Experience is everything.