Background: A 53-year-old diabetic female had suffered serious injury, an open calcaneal fracture and anterior superior L1 end plate fracture, in the fall from height. Her first treatment has taken care of her wound infection and debridement. Case Presentation: She was referred to our tertiary care facility three weeks following injury. Surgical debridement was conducted here and tissue culture established the diagnosis of Enterococcus faecalis osteomyelitis. Intravenous antibiotic brought a significant reduction in C-reactive protein. A 4x10cm soft tissue defect closed in 30 days using the Ilizarov external fixation device. Conclusion: Soft tissue defect was well-managed through the Ilizarov procedure with respect to results relating to wound healing, sensory improvement, and mobile stability of patient.

Background: A 53-year-old diabetic female had suffered serious injury, an open calcaneal fracture and anterior superior L1 end plate fracture, in the fall from height. Her first treatment has taken care of her wound infection and debridement. Case Presentation: She was referred to our tertiary care facility three weeks following injury. Surgical debridement was conducted here and tissue culture established the diagnosis of Enterococcus faecalis osteomyelitis. Intravenous antibiotic brought a significant reduction in C-reactive protein. A 4x10cm soft tissue defect closed in 30 days using the Ilizarov external fixation device. Conclusion: Soft tissue defect was well-managed through the Ilizarov procedure with respect to results relating to wound healing, sensory improvement, and mobile stability of patient.