Venous, Arterial, or Mixed Ankle Ulceration

86-year-old male with left ankle ulceration. Recurrent ulceration at the left ankle over the last 6 years. The current ulcer had been present for over 5 months. Local wound care only. No investigation into the cause of the ulcer. Patient had symptoms of rest pain. Venous ultrasound showed superficial venous incompetence. Arterial testing showed severe…

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