1. 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
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2. Figure 1
A severe diabetic foot infection with gas gangrene, ascending cellulitis, and calcaneal osteomyelitis.
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3. Figure 2
An open partial calcanectomy and aggressive incision and drainage are performed immediately.
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4. Figure 3
Vascular consult and intervention is initiated immediately before the subsequent revisional debridement.
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5. Figure 4
Negative pressure wound therapy is applied at the second revisional surgery and after appropriate bone and soft tissue cultures are obtained.
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6. 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.
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7. Figure 6
A split-thickness skin graft is applied 12 weeks after surgery.
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8. Figure 7
A final clinical picture 20 weeks after diabetic limb salvage surgery.
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9. AORN Journal 2008 87, 935-950DOI: (10.1016/j.aorn.2008.02.014)
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10. AORN Journal 2008 87, 935-950DOI: (10.1016/j.aorn.2008.02.014)
Copyright © 2008 AORN, Inc. Terms and Conditions