Diabetic foot management

With the growing incidence of diabetes and its associated complications, our aim is to utilise the potentials of Plastic surgery to optimise limb salvage and early rehabilitation of patient to normal function as best possible.

NECROTISING FASCIITIS

Initial management with optimal debridement till healthy, followed by 2 NPWT sessions.

Definitive wound Management by 10th day with Anterolateral thigh free microvascular flap cover

SSG

Pre-Op – long-standing ulcer with pale unhealthy granulation. Underwent serial debridement till healthy tissue and skin grafting done.

Post-Op

TROPHIC ULCER (FLAP)

One of the most common areas of trophic ulcer in patient with diabetic neuropathy. The wound would heal with rest but break down once again on weight bearing.

Underwent rotation flap cover and one setting of fat grafting and has been doing well for past 6 months.

NPWT

Negative Pressure Wound Therapy has evolved to be the mainstay in diabetic foot management, limiting disease progression and allowing minimizing morbidity.