Wound closure for the diabetic foot can be challenging and often involves amputation or reconstruction. The authors describe a surgical technique and a case report of lateral lesser toe fillet flap in the management of a diabetic foot wound. The lateral lesser toe fillet flap reconstruction is a reproducible technique that incurs comparatively minimal technical complexity and provides a favorab...

AIMS Deciding if a diabetic foot ulcer is infected in a community setting is challenging without validated point-of-care tests. Four inflammatory biomarkers were investigated to develop a composite algorithm for mildly infected diabetic foot ulcers: venous white cell count, C-reactive protein (CRP) and procalcitonin, and a novel wound exudate calprotectin assay. Calprotectin is a marker of neut...

Background and aims It is difficult to understand the various presentations of the diabetic ischaemic foot. The aim of the study was to investigate the clinical and angiological features of three presentations of the diabetic ischaemic foot: the painful ischaemic foot with tissue loss (group 1), the painful ischaemic foot with no tissue loss (group 2), and the painless ischaemic foot with tissu...

Lower extremity complications in persons with diabetes have become an increasingly significant public health concern in both the developed and developing world. These complications, beginning with neuropathy and subsequent diabetic foot wounds frequently lead to infection and lower extremity amputation even in the absence of critical limb ischemia. In order to diminish the detrimental consequen...

BACKGROUND Epidemiological characteristics of diabetic foot infection in our region are not clear. The purpose of this study was to determine the epidemiological features of diabetic foot infection in Babol, north of Iran. METHODS From March, 2005 to April, 2010, the epidemiological features of 450 cases of diabetic foot infection treated in two main teaching hospitals of Babol Medical Univer...

OBJECTIVE To ascertain the number of diabetic foot units (DFUs) in Spain, the specialists working in them, and the population covered by them. MATERIAL AND METHODS The Spanish Group on the Diabetic Foot (SGDF) prepared and agreed a questionnaire based on the recommendations of the 2011 International Consensus on the Diabetic Foot (ICDF). From October to December 2012, the questionnaire was se...

Background: Diabetic foot infection is the most common complication of diabetic foot ulcer (DFU) leading to amputation. The treatment requires special attention to disease conditions, proper diagnosis, appropriate sampling for cultures, careful selection of antibiotics, rapid determination of the patient’s need for surgical intervention, and wound care. Clearly a systematic approach or, if poss...