Diabetic foot

diabetic foot

“Diabetic foot” is a major complication of long-standing diabetes. It effects up to 25% diabetics during their lifetime. It is associated with high morbidity and mortality. Worldwide around 1 million amputations are performed each year as a consequence of diabetes.

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What is role of Reconstructive Plastic Surgeon in diabetic foot?

Plastic surgeon helps in promoting healing, preservation of form, function and helps in prevention of recurrence by
  • PRP Therapy
  • NPWT (Negative Pressure Wound Therapy) dressings
  • Temporary skin substitutes
  • Reconstruction and coverage by flaps or grafts.
  • What are the major causes of diabetic foot?

  • Decreased sensations in the foot.
  • Infections.
  • Decreased blood supply.
  • Altered foot structure.
  • What is the treatment for diabetic foot?

  • Control of diabetes with the help of physician/diabetologist
  • Daily lubricant massage of feet by use of creams prescribed by Plastic Surgeon.
  • Keeping wound moist
  • Adequate offloading footwear.
  • Frequent debridement by Plastic Surgeon.
  • NPWT (Negative Pressure Wound Therapy) dressings by Plastic Surgeon.
  • Control of infections by increasing immunity with the help of medications.
  • Revascularization of ischemic limb by Plastic Surgeon.
  • Coverage of resistant ulcers and raw areas by Plastic surgeon.
  • What is the burden of disease?

    Nearly 35% of all hospital admissions in general are in diabetic clinics. Nearly 80% of all non-traumatic amputations of lower limb are in diabetic patients.


    Autologous PRP(Platelet Rich Plasma) is safe and cost-effective method for treating diabetic foot ulcers. It speeds up healing process by supplying growth factors and lowering inflammation. It is used along with other treatment modalities for treatment of diabetic foot ulcers.

    NPWT(Negative Pressure Wound Therapy) dressing is one of the adjunctive treatmentsfor managing diabetic foot ulcers. It increases rate of wound healing, reduce the rate of amputation. It has effect in improving wound drainage, enhancing perfusion and promoting the growth of healthy granulation tissue.

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