What is the reason for the non-healing wound on the left foot?

Patient's question:

Congenital spina bifida, underwent surgery at birth. Subsequent sequelae include left foot equinus. In 2016, corrective surgery was performed, and corrective shoes were worn with a nail under the big toe, which caused the skin under the big toe to be worn down, leading to a recurring, non-healing wound that did not grow new tissue.

Doctor's answer:

You have a horseshoe-shaped foot on your left foot, and after undergoing corrective surgery, the wound has been recurring and not healing. In most cases of non-healing wounds, the possibility of abnormal glucose levels should be considered. I don't know if you have had timely medical examinations to check if your glucose levels are normal. Additionally, temporarily reduce activity and enhance nutrition. In this situation, we need to go to the hospital for thorough debridement, as this may be due to low immune function or fungal infection. Then, select sensitive medications, and oral immune-boosting drugs can be taken to avoid infection as much as possible.

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