Question
A patient with congenital spina bifida underwent surgery at birth and has a Sequelae of left foot clubfoot. They received corrective surgery and wore corrective shoes 16 years ago. However, the wound below the big toe has repeatedly failed to heal due to wear and tear on the nail, making it difficult for granulation tissue to grow. Why is the wound so hard to heal in this situation?
Answer
The difficulty in healing the wound may be related to abnormal glucose levels, and it is recommended to undergo a hospital check-up to confirm whether glucose levels are normal. At the same time, reduce physical activity and enhance nutritional intake. In this case, it is advisable to go to the hospital for thorough debridement, as low immune function or fungal infection may be the cause of the wound not healing. Subsequently, sensitive medication treatment should be selected, and oral immune-enhancing drugs can be considered to minimize the occurrence of infection.