diabetic foot surgery, العناية بتقرحات القدم السكرية والجروح المزمنة

Chronic wounds including diabetic foot surgery

Diagnosis

Your doctor will diagnose based on your medical history, symptoms, physical examination and the results of tests. The tests may include:

  • Wound culture to detect an infection
  • X-ray to detect bone infection
  • CT scan and MRI to evaluate infection in case your doctor suspects the presence of pus
  • Doppler or arteriographic studies to assess blood flow to the feet
  • Blood glucose and glycohemoglobin tests to assess the levels of glucose in the blood
  • Complete blood count to determine white blood cell (WBC) count; high levels of which are indicative of infection

Treatment

Mild foot infections generally heal with antibiotic or antifungal treatment. However, more serious problems may require corrective shoes, proper footwear, orthotic devices, splinting or bracing.

Corrective foot surgeries may sometimes be indicated for foot deformities that may progressively worsen. Surgical treatment is recommended for chronic wounds to control infection and create an environment that encourages healing and preserves the structural and physical integrity of the foot. Surgical treatment involves the following steps:

Preventive care

Since chronic foot wounds are common in diabetics, taking a few preventive steps can keep your feet healthy.

  • Avoid walking barefoot, especially on hot surfaces.
  • Use a moisturizer for dry feet. Apply only to the heels and not between the toes.
  • Don’t cut corns or calluses with scissors or razors.
  • Trim your toenails straight across.
  • Wash your feet regularly with warm water and dry them thoroughly especially between the toes.
  • Wear comfortable and well-fitting shoes.
  • Wear socks or stockings all the time.
  • Check your feet regularly for cuts, sores, blisters or infections.
  • Quit smoking.
  • Surgical debridement:

    This process involves the removal of dead and infected tissue, joints and bones, using a scalpel or special scissors. Your doctor may also place your affected foot in a whirlpool bath, apply wet to dry dressings or use a syringe and catheter (narrow tube) to pull away the dead skin, or dissolve it with the help of certain chemicals.

  • Reconstruction:

    This process involves closing a large area of the operative wound.
    Antibiotic application: A catheter is used to apply antibiotics continuously to the wound.

  • Skin defect covering:

    Once the infection has alleviated, surgical procedures to cover the skin defect may be performed.

Request a consultation