Multimodal Reconstruction Approaches in Diabetic Foot Ulcers

Diabetic foot ulcers (DFUs) are a common and serious complication of diabetes mellitus, often leading to prolonged morbidity and limb amputation. Successful management involves early debridement, infection control, and appropriate soft tissue coverage.

The present study is a retrospective case series conducted from March 1 to August 31, 2024, involving seven patients with chronic DFUs at Sree Balaji Medical College and Hospital. Each case underwent individualized reconstruction strategies, including split-thickness skin grafts (STSGs), reverse sural artery flaps, medial plantar artery flaps, cross-leg flaps, and conservative healing, depending on wound location, depth, and vascular status.

All patients demonstrated favorable outcomes in terms of graft/flap viability and wound healing. Functional recovery was satisfactory in each case. No major complications or recurrences were observed during follow-up.

Early and tailored multimodal reconstructive approaches yield positive outcomes in DFUs. Strategic planning based on anatomical site and biomechanical load is crucial for effective limb salvage.