Dear Jawadur (Dr. Wadud),
Thank you for your comments (sorry for delayed reply).
Last X-ray (in Septebmer) didn't reveal osteomyelitis, but I plan to
repeat it now as now osteomyelitis is highly probable - maybe this
is the cause of excessive exudation. Although 5th metatersal was
resected in ray amputation, now patient seems to need repeated
surgery for resection of infected bone.
Many thanks again to you and all participants who commented this
case.
Oleg.

--- In TheDiabeticFoot@yahoogroups.com, "jrwadud" <jrwadud@...>
wrote:
>
> Dear Oleg
>
> In your case to minimise the Messaration and exudation you can
make
> a window on TCC over the wound and frequently change the dressing
> and you will recieve a good result. You have to do a X-ray and see
> the presense of osteomyelitis. It also may happen when the surgeon
> amputate the toe he just disarticulate the toe and does not exise
> the head of the metatarsal bone. If so you have to ask your
surgeon
> to remove the head of the metatarsal bone and continue treatment
> with TCC, with window over the wound.
> With best regards
> Dr. Wadud--- In TheDiabeticFoot@yahoogroups.com, "Dr. Oleg
> Udovichenko" <ovu_short@> wrote:
> >