[Economic surgical interventions on the foot in diabetic gangrene]

Primary surgical toilet is the main stage of surgical management of diabetic gangrene, usually associated with amputation of isolated toes, or varying in type transmetatarsal amputations. Elimination of the basic tissue decomposition and wide exposure of all purulent cavities contribute greatly to restrict the purulent gangrenous process in course. Simultaneously, adequate insulin and antibiotic therapy is conducted. If necessary, at a second stage plastic reconstructive operations are performed with a view to improve the biomechanics of the foot.