Multimodal Reconstruction Approaches in Diabetic Foot Ulcers

TL;DR

This paper shows that using multiple surgical techniques tailored to individual patients can effectively treat diabetic foot ulcers and prevent amputation.

Contribution

The study contributes by demonstrating successful outcomes of personalized multimodal reconstruction strategies for chronic diabetic foot ulcers.

Findings

All patients showed good graft or flap viability and wound healing.

Functional recovery was satisfactory without major complications.

Tailored approaches based on wound location and vascular status were effective.

Abstract

Introduction: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

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