A Two-Stage Diabetic Foot Salvage Using Synthetic Bone Void Filler and Lesser Toe Fillet Flap: A Case Report.

Abstract

CASE:

A 54-year-old type 2 diabetic man with a diabetic forefoot ulcer and osteomyelitis successfully underwent a staged reconstruction to salvage his foot. An antibiotic-carrying bone void filler was used to decrease the infection burden after initial debridement. The fifth toe fillet flap was performed to cover the large soft-tissue defect. The patient returned to baseline ambulation at the 1-year follow-up with a well-incorporated flap.

CONCLUSION:

This case highlights the utility of combining an antibiotic-carrying bone void filler and a toe fillet flap in a two-stage approach to salvage complex diabetic foot ulcers.

• Authors: Jong Min Lee, Christopher Del Balso, Sanjay Gupta, Sherilyn Tay, Timothy R Daniels, Mansur Halai
• Journal: JBJS case connector (JBJS Case Connect) Vol. 12 Issue 1 (01 20 2022) ISSN: 2160-3251 [Electronic] United States
• PMID: 35050946 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.

Topics

• Diabetes Mellitus
• Diabetic Foot (complications, surgery)
• Humans
• Male
• Middle Aged
• Osteomyelitis (surgery)
• Surgical Flaps
• Toes (surgery)
• Walking