Abstract
Diabetic foot ulcers are a serious complication of poorly controlled diabetes, often leading to amputations. This study presents a 60-year-old man with diabetes and severe foot ulcers who opted for a Wolfe skin graft with Hyperbaric Oxygen Therapy (HBOT) instead of amputation. Key points of study 1. The patient had poorly controlled diabetes and severe foot ulcers, resulting in 2 amputated toes. 2. Further amputations were anticipated for a chronic Wagner 3 diabetic ulcer. (Wagner, et. al., Foot and Ankle international) 3. A Wolfe skin graft limited debridement and minimally invasive surgery followed by HBOT sessions were successful in healing the ulcers and saving the toe. 4. This approach shows promise as an alternative to amputation for diabetic foot ulcers, potentially reducing costs and improving patient outcomes. Overall, this study suggests that Wolfe skin grafting combined with HBOT can be a viable alternative to amputation for treating diabetic foot ulcers. This approach may offer cost savings and improved quality of life for the patient by preserving limbs.
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