Navicular Fracture- Swelling is Spreading- Help!

Hi,

My father is 58 yrs old, 5'9"", 200lbs diabetic and he recently sprained his ankle while jogging followed by a swelling of red color.  He has diabetes for more than 20 years but managed to stay that in control by taking insulin and excercise. He took some pain killers and injections, red color was gone and went for his regular job. Now, the swelling is even more and is spreading towrds knee. It's been about a month from his injury and he lives in India. The first doctor did not bother to go into details and always he suggested for a surgery to remove a piece of bone and test for infections. As my father is diabetic, he wants to avoid surgery. My father will give this reports to the second doctor tomorrow. Here are his reports we got today:-

X-Ray Report says:-
1. fracture navicular bone with development
2. calcaneal spur

MRI Report says:-

1> Status Diabetes
2> Bones alignment is normal
3> Minimal free fluid in joint space
4> Soft tissue swelling around ankle and foot with adema.
5> Oscuboidale noted - normal variant
6> subluxated talonavicular articulation with fractures involving navicular.
7> Hetrogeneous TD FBIR and T2W hypertense areas and T1 hypointense areas involving talus, anterior half of calcanuem,
    navicular, medial conal form and cuboidbones - s oblique o diseased - inflamation (inflammation).
8> Inflamation (inflammation) is involved in spaces of metatarsal bones.
9> plantar facia is thickened and edimatous.
10> Tandence arround ankle show no obvious signal changes. Thin free fluid noted involving tendon sheath of medial
      and lateral compartment - could be reactionary.
11> Tibofibular ligments deltoid and spring ligaments show no obvious focal altered signals.
12> C oblique W changes of diabetic foot for clinical correlation and follow up.

Please let me know what is the correct treatment with this condition. Thanks for your help and I will be waiting for your reply!!

-Ram

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