Diabetic Foot Reconstruction
Diabetic foot reconstruction refers to surgical procedures used to treat wounds, ulcers, and deformities in the feet of individuals with diabetes. Due to nerve and vascular damage caused by diabetes, patients are at high risk for serious foot injuries and infections. Soft tissue reconstruction is often required to restore both functional integrity and aesthetic appearance of the foot.
When Is Diabetic Foot Reconstruction Necessary?
- Reconstruction may be indicated in the following situations:
- Chronic Wounds and Ulcers: Non-healing wounds that do not respond to conservative treatment
- Infections: Presence of severe or recurring foot infections
- Osteomyelitis: Bone infection within the foot
- Gangrene: Tissue death due to inadequate blood supply
- Foot Deformities: Structural deformities that develop as a complication of diabetes
How Is Diabetic Foot Reconstruction Performed?
- The surgical method used depends on the severity of the wound, presence of infection, and overall patient health:
- Debridement : • Removal of dead or infected tissue to prepare the wound for healing
- Local Flap Surgery: • Transferring nearby healthy tissue to cover the wound
- Free Tissue Transfer: • Using microsurgical techniques to transplant tissue from another part of the body to the affected area
- Skin Grafting: • Applying a skin graft to close superficial or smaller wounds
- Bone and Tendon Repair: • In cases of deeper or more extensive damage, bones or tendons may need to be repaired or reconstructed
Frequently Asked Questions
Recovery depends on the type of surgery performed and the patient’s overall health, especially their diabetes management. Important elements include:
• Wound Care: Keep the surgical site clean and dry to prevent infection
• Physical Therapy: Necessary to restore foot mobility and function
• Blood Sugar Control: Maintaining optimal blood glucose levels is critical for healing
• Rest: Reduce strain on the affected foot during initial recovery
• Pain Management: Use prescribed medications as directed to manage post-operative pain
To support recovery and prevent complications:
• Monitor Blood Sugar: Regularly check blood glucose levels and follow your dietary plan
• Maintain Hygiene: Ensure the surgical site remains clean and dry
• Regular Follow-Ups: Attend all scheduled doctor visits to track healing
• Continue Physical Therapy: Adhere to rehabilitation programs if recommended
• Foot Care: Use protective footwear and moisture-wicking socks to prevent pressure or irritation
Dr. Burak Ergün Tatar
Surgery Process
Preliminary Interview
I have a preliminary meeting with my patients without any time constraints.
Planning
The planning of the surgery time is done in collaboration with my patients.
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Operation
I perform the operation in our hospital with high technology and equipment.
Follow-up
As a team, we are in contact with our patients for post-operative check-ups or any adverse events that may occur.
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