Diabetic limb salvage procedure with bone allograft and free flap transfer: a case report.

Alexandre L Godoy-Santos,Ana L M Lima,Daniel T Amodio,David G Armstrong,Teng H Wei,André Pires,Cesar De Cesar-Netto

doi:10.1080/2000625x.2016.1270076

Abstract

ABSTRACTThe aim of this case report was to describe a successful diabetic limb salvage procedure in the treatment of an infected diabetic foot ulcer through a multidisciplinary team approach and complex surgical reconstruction involving a femoral head bone allograft and musculocutaneous latissimus dorsi free flap. The decision to proceed with aggressive staged efforts at diabetic limb salvage should be made only after careful consultation with the patient, his or her family, and the rest of the multidisciplinary healthcare team.

Highlights

Diabetes mellitus has a global prevalence of 8.3%, and approximately 387 million people have been diagnosed worldwide
Diabetic limb salvage procedures may represent a feasible and more functional option in the treatment of these patients, who often have associated diseases that already negatively impact their quality of life and life expectancy [10,11]
It is fundamental to consider the option of a surgical reconstruction, rather than an amputation, when treating diabetic patients with complicated and infected diabetic foot ulcer (DFU) [14]

Summary

Introduction

Diabetes mellitus has a global prevalence of 8.3%, and approximately 387 million people have been diagnosed worldwide. 23 million people with diabetes mellitus develop a diabetic foot ulcer (DFU) This common complication often leads to significant functional loss, decreased quality of life, and socioeconomic impairment, affecting patients, their families, and the healthcare system [1]. Diabetic limb salvage procedures may represent a feasible and more functional option in the treatment of these patients, who often have associated diseases that already negatively impact their quality of life and life expectancy [10,11]. Feet that once would have been amputated can be managed by salvage procedures, with similar or even better functional outcomes compared to diabetic patients who undergo amputation [12,13] In this scenario, it is fundamental to consider the option of a surgical reconstruction, rather than an amputation, when treating diabetic patients with complicated and infected DFUs [14].

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Discussion

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Notes on contributors