Abstract
As implied by Acharya et al. [1] the issue of medical versus surgical management of diabetic foot osteomyelitis (DFO) remains controversial. While we welcome their contribution of addition data on this topic, we have several major concerns about their report. They introduce confusion by using the term “conservative” management to describe exclusively antibiotic (without surgical) treatment, while others use it to describe surgical treatment that avoids amputation [2]. Of greatest concern is their definition of osteomyelitis, which not only did not include a culture (or histopathology) of bone, it did not define which among the less accurate clinical findings they used were present in each case.
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