An Orthopedic Perspective on Diabetic Foot Attack - A Case Report.

Area of Science:

• Orthopedics
• Diabetology
• Podiatry

Background:

• Diabetic foot attack (DFA), or diabetic foot ulceration, is a severe complication of diabetes mellitus.
• It involves foot ulcers, infections, and potential amputation due to neuropathy, arterial disease, and poor glycemic control.
• This case report offers a unique orthopedic perspective on DFA management.

Observation:

• A 55-year-old Type 2 diabetic presented with acute foot pain, swelling, and a year-long non-healing ulcer.
• Imaging revealed extensive foot infection with gas, indicating a severe DFA.
• The patient initially deteriorated despite debridement, requiring intensive care.

Findings:

• Urgent surgical debridement and washout were performed for the severe DFA.
• Despite initial deterioration and ICU admission, the patient recovered after further debridement and local antibiotic therapy.
• This case highlights the critical need for prompt orthopedic surgical intervention in severe DFAs.

Implications:

• Effective DFA management necessitates a multidisciplinary approach, integrating orthopedic expertise.
• Preventive strategies, including regular foot exams and patient education, are vital for reducing DFA incidence.
• This case underscores the importance of early orthopedic consultation for limb salvage in complex diabetic foot complications.