Pressure-induced injury of the foot

The patient, who was non-ambulatory, had a right knee contracture and developed a pressure-induced wound on the posterior plantar heel. The dorsal foot and medial metatarsal wounds likely developed as a result of a bandage that was too tight. Inclusion of a layer of non-adherent dressing adjacent the skin can help prevent injury when applying bandages to the foot. Non-ambulatory patients with contractures are challenging to off-load; the use of typical devices (ie, protective boots) are usually not effective.