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Case Reports in Orthopedics
Volume 2013 (2013), Article ID 287025, 4 pages
http://dx.doi.org/10.1155/2013/287025
Case Report

Novel Surgical Treatment for Refractory Heel Ulcers in Werner’s Syndrome

1Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe Hyogo 650-0017, Japan
2Division of Rehabilitaion Medicine, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe Hyogo 650-0017, Japan

Received 23 May 2013; Accepted 28 July 2013

Academic Editors: K. Erler, D. A. Fisher, I. Han, and C. C. Liao

Copyright © 2013 Keisuke Oe et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Patients with Werner’s syndrome frequently develop chronic leg ulcers that heal poorly. We present a patient who suffered from this rare syndrome and developed typical heel ulcers. Treatment of the ulcer is challenging, as flap options are limited over the lower third of the leg and skin grafting is not easy as there is a lack of healthy granulations. We successfully treated the ulcer with osteomyelitis by drilling the bone and applying an ultrathin split thickness skin graft with the thigh skin as the donor site.