Surgical management of diabetic foot and ankle infections

Foot Ankle Spec. 2010 Oct;3(5):223-30. doi: 10.1177/1938640010382037.

Abstract

Delayed treatment of any diabetic foot infection can lead to a limb- or life-threatening scenario. Urgent and/or emergent surgery may be necessary in the early diagnosis of a severe diabetic foot infection that is followed by staged reconstructive procedures. This article provides the reader with a thorough understanding of the surgical management of severe diabetic foot infections and describes and guides treatment based on a rational schematic approach that identifies the anatomic location of the diabetic foot infection.

MeSH terms

  • Amputation, Surgical
  • Anti-Bacterial Agents / therapeutic use
  • Arthropathy, Neurogenic / etiology
  • Arthropathy, Neurogenic / therapy
  • Debridement
  • Diabetic Foot / complications*
  • Diagnostic Imaging
  • Drug Implants
  • External Fixators
  • Fasciitis, Necrotizing / etiology
  • Fasciitis, Necrotizing / therapy*
  • Gas Gangrene / etiology
  • Gas Gangrene / therapy*
  • Humans
  • Ischemia / diagnosis
  • Limb Salvage
  • Negative-Pressure Wound Therapy
  • Osteomyelitis / etiology
  • Osteomyelitis / therapy*
  • Soft Tissue Infections / etiology
  • Soft Tissue Infections / therapy*
  • Surgical Flaps

Substances

  • Anti-Bacterial Agents
  • Drug Implants