External Fixation for Surgical Off-Loading of Diabetic Soft Tissue Reconstruction

Crystal L. Ramanujam, Zacharia Facaros, Thomas Zgonis

Research output: Contribution to journalReview articlepeer-review

17 Scopus citations


Early and aggressive treatment of diabetic foot wounds is imperative for the reduction of amputation risk. Whereas sound local wound care is important for successful management; chronic wounds often reach a stagnant point in healing because of diabetic vasculopathy, immunopathy, or neuropathy. The type, size, shape, and location of wound may not always allow primary closure or grafting. In patients with adequate perfusion and in the absence of infection, local advancement flaps are suitable for durable closure. A review and case report demonstrating the use of these flaps with external fixation as an adjunctive therapy for surgical off-loading is presented.

Original languageEnglish (US)
Pages (from-to)211-216
Number of pages6
JournalClinics in podiatric medicine and surgery
Issue number1
StatePublished - Jan 2011


  • Diabetic foot
  • External fixation
  • Local flaps
  • Soft tissue coverage
  • Surgical off-loading

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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