Special Considerations for Diabetic Foot Reconstruction

Hyunsuk Peter Suh; Changsik John Park; Joon Pio Hong

doi:10.1055/s-0040-1714431

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2021; 37(01): 012-016
DOI: 10.1055/s-0040-1714431

Review Article

Special Considerations for Diabetic Foot Reconstruction

Authors

Hyunsuk Peter Suh

¹Department of Plastic Surgery, ASAN Medical Center, University of Ulsan College of Medicine, Seoul, South Korea
Changsik John Park

¹Department of Plastic Surgery, ASAN Medical Center, University of Ulsan College of Medicine, Seoul, South Korea
Joon Pio Hong

¹Department of Plastic Surgery, ASAN Medical Center, University of Ulsan College of Medicine, Seoul, South Korea

Abstract

Successful reconstruction of diabetic ulcers using free flap surgery can prevent further amputation and promote limb salvage to maintain normal gait of the patient and increase the quality of life after surgery. To minimize the postoperative complication and days of stay in hospital, surgeons should thoroughly investigate the risk factors and underlying conditions, including the general condition and local factors.

Keywords

diabetic ulcer - reconstruction - debridement

Full Text

References

References
1 Noor S, Zubair M, Ahmad J. Diabetic foot ulcer - A review on pathophysiology, classification and microbial etiology. In: Diabetes and Metabolic Syndrome: Clinical Research and Reviews: Diabetes India; 2015: 192-199
2 Alavi A, Sibbald RG, Mayer D. et al. Diabetic foot ulcers: Part I. Pathophysiology and prevention. J Am Acad Dermatol 2014; 70 (01) 1.e1-1.e18 , quiz 19–20
3 Ahn KJ. Epidemiology of Diabetic Foot Disease. In: J Korean Diabetes; 2011: 72-75
4 Charles PGP, Uçkay I, Kressmann B, Emonet S, Lipsky BA. The role of anaerobes in diabetic foot infections. In, Anaerobe; 2015: 8-13
5 Peters EJG, Lipsky BA. Diagnosis and management of infection in the diabetic foot. In: Medical Clinics of North America; 2013: 912-946
6 Prompers L, Huijberts M, Apelqvist J. et al. High prevalence of ischaemia, infection and serious comorbidity in patients with diabetic foot disease in Europe. Baseline results from the Eurodiale study. In: Diabetologia; 2007: 18-25
7 Suh HS, Oh TS, Hong JP. Innovations in diabetic foot reconstruction using supermicrosurgery. Diabetes Metab Res Rev 2016; 32 (Suppl. 01) 275-280
8 Suh HS, Oh TS, Lee HS. et al. A new approach for reconstruction of diabetic foot wounds using the angiosome and supermicrosurgery concept. Plast Reconstr Surg 2016; 138 (04) 702e-709e
9 Jude EB, Oyibo SO, Chalmers N, Boulton AJ. Peripheral arterial disease in diabetic and nondiabetic patients: a comparison of severity and outcome. Diabetes Care 2001; 24 (08) 1433-1437
10 Thiruvoipati T, Kielhorn CE, Armstrong EJ. Peripheral artery disease in patients with diabetes: epidemiology, mechanisms, and outcomes. World J Diabetes 2015; 6 (07) 961-969
11 Laswed T, Rizzo E, Guntern D. et al. Assessment of occlusive arterial disease of abdominal aorta and lower extremities arteries: Value of multidetector CT angiography using an adaptive acquisition method. In: European Radiology; 2008: 263-272
12 Yamashita Y, Fukuda S, Kigawa I, Wanibuchi Y. Preoperative angiographic evaluation of the descending branch of the lateral femoral circumflex artery as a free graft in coronary artery bypass graft. In: The Japanese Journal of Thoracic and Cardiovascular Surgery: official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi; 2005: 477-480
13 McDermott MM, Carroll TJ, Kibbe M. et al. Proximal superficial femoral artery occlusion, collateral vessels, and walking performance in peripheral artery disease. JACC: Cardiovascular Imaging; 2013: 687-694
14 Armstrong DG. An overview of foot infections in diabetes. In: Diabetes technology & therapeutics; 2011: 951-957
15 Boulton AJM, Armstrong DG, Kirsner RS. et al. In: Diagnosis and Management of Diabetic Foot Complications. Arlington (VA): American Diabetes Association; 2018
16 Lavery LA, Davis KE, Berriman SJ. et al. WHS guidelines update: diabetic foot ulcer treatment guidelines. Wound Repair Regen 2016; 24 (01) 112-126
17 Kim PJ, Attinger CE, Bigham T. et al. Clinic-based debridement of chronic ulcers has minimal impact on bacteria. Wounds 2018; 30 (05) 114-119
18 Thabit AK, Fatani DF, Bamakhrama MS, Barnawi OA, Basudan LO, Alhejaili SF. Antibiotic penetration into bone and joints: An updated review. In: International Journal of Infectious Diseases: International Society for Infectious Diseases; 2019: 128-136
19 Tchero H, Kangambega P, Noubou L, Becsangele B, Sergiu F, Teot L. Antibiotic therapy of diabetic foot infections: A systematic review of randomized controlled trials. In: Wound Repair and Regeneration; 2018
20 Hong JP, Oh TS. An Algorithm for Limb Salvage for Diabetic Foot Ulcers. In: Clinics in Plastic Surgery: Elsevier Inc; 2012: 341-352
21 Eley KA, Young JD, Watt-Smith SR. Epinephrine, norepinephrine, dobutamine, and dopexamine effects on free flap skin blood flow. Plast Reconstr Surg 2012; 130 (03) 564-570