A 39-year old nondiabetic female had severely ulcerated necrobiosis li poidica of the legs which was refractory to medical management for 2½ years. Surgical management with porcine grafting followed by autologous split-thick ness skin grafts successfully healed these ulcerations. With the use of custom- fitted contoured pads and pressure gradient stockings, the grafts have remained intact for 21/2 years, and there has been significant improvement of the nonul cerated plaques.
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