Soft Tissue Reconstructive Options for the Ulcerated or Gangrenous Diabetic Foot

2018 ◽  
pp. 345-390
Author(s):  
Matthew L. Iorio ◽  
Karen Kim Evans ◽  
Christopher E. Attinger
Keyword(s):  
Soft Tissue ◽  
Diabetic Foot

Soft Tissue Reconstruction Pyramid in the Diabetic Foot

2010 ◽  
Vol 3 (5) ◽  
pp. 241-248 ◽  
Author(s):  
Claire M. Capobianco ◽  
John J. Stapleton ◽  
Thomas Zgonis
Keyword(s):  
Soft Tissue ◽  
Diabetic Foot ◽  
Weight Bearing ◽  
Soft Tissue Coverage ◽  
Soft Tissue Reconstruction ◽  
Best Interest ◽  
Foot Complications ◽  
Uncontrolled Diabetes ◽  
Wound Healing Response ◽  
Tissue Reconstruction

Foot complications and ulceration are well-known sequelae to uncontrolled diabetes. Patients with chronic foot ulcers or wounds resulting from surgical debridement of deep-space infections are at continued risk for development of osteomyelitis and potential amputation. Moreover, these wounds often necessitate multiple outpatient clinic visits, daily dressing care, and prolonged periods of non—weight bearing, all of which have been shown to adversely affect the patient’s quality of life. After a prudent period of wound-healing response, the authors believe that early and aggressive soft tissue reconstruction is in the patient’s best interest and is crucial for resolution of the chronic nonhealing wound. The options for soft tissue coverage and the logical progression of application of these techniques in the diabetic foot will be described.

Treatment of the Diabetic Foot with Exposed Os Calcis

Foot & Ankle ◽  
1980 ◽  
Vol 1 (3) ◽  
pp. 173-178 ◽  
Author(s):  
Richard L. Jacobs ◽  
Allastair M. Karmody
Keyword(s):  
Soft Tissue ◽  
Medical Care ◽  
Diabetic Foot ◽  
Survival Rates ◽  
Soft Tissue Defects ◽  
Os Calcis ◽  
Soft Tissue Problems ◽  
Improved Methods ◽  
Tissue Defects

With improved methods of medical care, the survival rates in all types of diabetes are improving. There are increasing numbers of older diabetics with complicated soft tissue problems. This is a report of our experiences in treating 15 consecutive patients with soft tissue defects involving the hindfoot. Each of these patients had an intact forefoot.

Advanced Plastic Surgery Techniques for Soft Tissue Coverage of the Diabetic Foot

2007 ◽  
Vol 24 (3) ◽  
pp. 547-568 ◽  
Author(s):  
Thomas Zgonis ◽  
John J. Stapleton ◽  
Thomas S. Roukis
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Diabetic Foot ◽  
Soft Tissue Coverage

Soft-tissue reconstruction for recalcitrant diabetic foot wounds

1999 ◽  
Vol 38 (6) ◽  
pp. 388-393 ◽  
Author(s):  
Brenda K. Cohen ◽  
David D. Zabel ◽  
E. Douglas Newton ◽  
Alan R. Catanzariti
Keyword(s):  
Soft Tissue ◽  
Diabetic Foot ◽  
Soft Tissue Reconstruction ◽  
Tissue Reconstruction

Antibiotic Resistance in Diabetic Foot Soft Tissue Infections: A Series From Greece

2017 ◽  
Vol 16 (4) ◽  
pp. 255-259 ◽  
Author(s):  
Maria Demetriou ◽  
Nikolaos Papanas ◽  
Periklis Panagopoulos ◽  
Maria Panopoulou ◽  
Efstratios Maltezos
Keyword(s):  
Antibiotic Resistance ◽  
Soft Tissue ◽  
Diabetic Foot ◽  
Soft Tissues ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Soft Tissue Infections ◽  
Diabetic Foot Infections ◽  
Initial Choice ◽  
Gram Positive Cocci

Diabetic foot infections are a common and serious problem for all health systems worldwide. The aim of this study was to examine the resistance to antibiotics of microorganisms isolated from infected soft tissues of diabetic foot ulcers, using tissue cultures. We included 113 consecutive patients (70 men, 43 women) with a mean age of 66.4 ± 11.2 years and a mean diabetes duration of 14.4 ± 7.6 years presenting with diabetic foot soft tissue infections. Generally, no high antibiotic resistance was observed. Piperacillin-tazobactam exhibited the lowest resistance in Pseudomonas, as well as in the other Gram-negative pathogens. In methicillin-resistant Staphylococcus aureus isolates, there was no resistance to anti-Staphylococcus agents. Of note, clindamycin, erythromycin, and amoxycillin/clavulanic acid exhibited high resistance in Gram-positive cocci. These results suggest that antibiotic resistance in infected diabetic foot ulcers in our area is not high and they are anticipated to prove potentially useful in the initial choice of antibiotic regimen.

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