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A Two-Stage Diabetic Foot Salvage Using Synthetic Bone Void Filler and Lesser Toe Fillet Flap: A Case Report.

Jong Min Lee1, Christopher Del Balso2, Sanjay Gupta3

  • 1Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada.

JBJS Case Connector
|January 20, 2022
PubMed
Summary

This case study shows a successful two-stage surgical approach for complex diabetic foot ulcers. Combining an antibiotic bone void filler and toe flap effectively salvaged the patient's foot, restoring ambulation.

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Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...