This 84 year old insulin-dependent diabetic was referred for osteomyelitis and a plantar ulcer that had not responded to six months of antibiotic treatments. He had a history of transient cerebral ischemic attacks and a New York class 3 heart status. The ankle/arm index was 0.81 for his left leg and 0.44 for the right leg.

He was given local injections of gentamicin and Mini-Boot treatments initially daily as an outpatient... then, as the drainage ceased, two to three days a week. His lesion healed leaving a cleft at the site.

The edges of the cleft were scraped clean repeatedly and it eventually closed. During his last week of therapy, he was also treated for a small lesion of his right foot which responded rapidly to the treatment