Lk Vijaykharthik, R Manimaran, Kanchana Koppolu, Sreedevi B V
General Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.
Plastic Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.
Cureus. 2025 Jun 14;17(6):e86013. doi: 10.7759/cureus.86013. eCollection 2025 Jun.
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.
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.
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.
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.
糖尿病足溃疡（DFUs）是糖尿病常见且严重的并发症，常导致长期发病和肢体截肢。成功的治疗包括早期清创、感染控制和适当的软组织覆盖。
本研究是一项回顾性病例系列研究，于2024年3月1日至8月31日进行，涉及斯利·巴拉吉医学院和医院的7例慢性糖尿病足溃疡患者。根据伤口位置、深度和血管状况，每个病例都采用了个体化的重建策略，包括断层皮片移植（STSGs）、腓肠神经营养血管逆行皮瓣、足底内侧动脉皮瓣、交腿皮瓣和保守愈合。
所有患者在移植物/皮瓣存活和伤口愈合方面均显示出良好的结果。每个病例的功能恢复都令人满意。随访期间未观察到重大并发症或复发。
早期且量身定制的多模式重建方法在糖尿病足溃疡治疗中产生了积极的结果。基于解剖部位和生物力学负荷的战略规划对于有效的肢体挽救至关重要。
