What is the role of surgery in wound healing of diabetic foot ulcers?

Updated: Oct 15, 2020
  • Author: Tanzim Khan, DPM; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Once a wound has reached a steady clean state, a decision has to be made about allowing healing by natural processes or expediting healing by a surgical procedure. Clinical experience and observation of the healing progress in each case dictate the appropriate management. Surgical options include skin grafting, application of bioengineered skin substitutes, and flap closures. [64]

Clinicians have to treat the underlying etiology of these wounds for these modalities to work appropriately. This includes addressing osseous deformities and muscular imbalances, treating infection, and addressing any vascular compromise.

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