Surgical Management of Diabetic Foot Infections and Osteomyelitis

Robert G. Frykberg, Brian Wittmayer, Thomas Zgonis

Research output: Contribution to journalReview article

44 Scopus citations

Abstract

Foot ulceration and subsequent infection are a major complication of diabetes mellitus. Without proper diagnosis and treatment, these infections often lead to amputation. A multidisciplinary team approach is essential to maximize outcomes in the attempt to limit amputation and decrease patient morbidity. Mild to moderate diabetic foot infections often respond favorably to local wound care, offloading, and antibiotic therapy. When conservative measures fail or when faced with limb- or life-threatening infection, surgical intervention, whether it be incision and drainage or possible amputation, is warranted. The authors review underlying pathophysiology of diabetic foot infections and an evidenced-based approach to surgical management, with additional emphasis on treatment of osteomyelitis.

Original languageEnglish (US)
Pages (from-to)469-482
Number of pages14
JournalClinics in podiatric medicine and surgery
Volume24
Issue number3
DOIs
StatePublished - Jul 1 2007

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ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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