I have an open wound from a broken ankle and surgery where the incision got infected 2years ago. I have had everything done but skin flap surgery at the VA in Little Rock. Nothing has completely healed it. The incision was made from just below and on top up to the shin and after the infection started I did not have enough skin to pull it back together and stitch it up. I have used a wound vac. twice to a total of about of about two months and had 4 derma grafts 2 artificial grafts, the first one didn t take and the 2nd did and 3 skin grafts. I m not Diabetic and after a graft surgery in Oct. 2013 I contracted Mersa and 2 more skin grafts after that. The last skin graft looked good until 3 weeks ago and then it developed 2 small lesions on it and that is when I went back to my Plastic surgeon and he recommended the skin Flap surgery and I have refused at this point, due to so many times it has looked so good and then go bad almost over night. I tried to get my Dr. at the VA to refer me to a wound Specialist in Joplin, Mo. and the VA won t approve it because I am not diabetic and the do Hyperbaric treatments there. The drive to Little Rock is 276 miles one way and only I live 20 miles from Joplin.