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Surgical Management of Diabetic Foot Infections and Amputations
Thomas Zgonis, DPM, John J. Stapleton, DPM, Valerie A. Girard-Powell, RN, Ryan T. Hagino, MD AORN Journal Volume 87, Issue 5, Pages (May 2008) DOI: /j.aorn Copyright © 2008 AORN, Inc. Terms and Conditions
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Figure 1 A severe diabetic foot infection with gas gangrene, ascending cellulitis, and calcaneal osteomyelitis. AORN Journal , DOI: ( /j.aorn ) Copyright © 2008 AORN, Inc. Terms and Conditions
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Figure 2 An open partial calcanectomy and aggressive incision and drainage are performed immediately. AORN Journal , DOI: ( /j.aorn ) Copyright © 2008 AORN, Inc. Terms and Conditions
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Figure 3 Vascular consult and intervention is initiated immediately before the subsequent revisional debridement. AORN Journal , DOI: ( /j.aorn ) Copyright © 2008 AORN, Inc. Terms and Conditions
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Figure 4 Negative pressure wound therapy is applied at the second revisional surgery and after appropriate bone and soft tissue cultures are obtained. AORN Journal , DOI: ( /j.aorn ) Copyright © 2008 AORN, Inc. Terms and Conditions
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Figure 5 A hybrid, off-loading external fixator is applied in conjunction with negative pressure wound therapy before the patient is discharged from the hospital. AORN Journal , DOI: ( /j.aorn ) Copyright © 2008 AORN, Inc. Terms and Conditions
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Figure 6 A split-thickness skin graft is applied 12 weeks after surgery. AORN Journal , DOI: ( /j.aorn ) Copyright © 2008 AORN, Inc. Terms and Conditions
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Figure 7 A final clinical picture 20 weeks after diabetic limb salvage surgery. AORN Journal , DOI: ( /j.aorn ) Copyright © 2008 AORN, Inc. Terms and Conditions
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AORN Journal 2008 87, 935-950DOI: (10.1016/j.aorn.2008.02.014)
Copyright © 2008 AORN, Inc. Terms and Conditions
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AORN Journal 2008 87, 935-950DOI: (10.1016/j.aorn.2008.02.014)
Copyright © 2008 AORN, Inc. Terms and Conditions
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