45 y/o male with NIDDM was admitted to the hospital for polysubstance abuse. Podiatry was consulted for management of the large anterior venous stasis ulcer of the right leg. The wound measured 16cm x 14cm and had a fibrogranular base. Positive edema noted, No sinus tracking, no edema, no mal odor, and no erythema. Patients vitals were stable. Anerobic/Aerobic wound cultures were attained. The wound was irrigated and fibrous film over the wound was removed. Collagen matrix product was applied to the entire wound bed, then an Unna boot, followed by cast padding and Coban. Patient was visiting the podiatry clinic previously but did not show up for follow up appointments for at least 3 months. Will change dressings in 3 days.