Bone infections of the foot and ankle

Bone infections of the foot and ankle

Bone infections of the foot and ankle

This is a relatively common pathology that can be seen with many patients ending up with this devastating diagnosis. This leads to a number of amputations across the world, steadily increasing each year. This is witnessed with amputations primarily from patients with diabetes and the associated complications from such especially with neuropathy and vascular diseases.

However it should be tried to utilize the most innovative technologies and prevent this devastating complication (ie amputations). Using the state of the art external fixates, MicroVas microcirculatory therapy, wound care referrals, the case can be controlled. It has to be closely working with infectious disease doctors for management of the systemic portion of treatment especially in the case of ankle osteomyelitis. This usually includes intravenous antibiotics and weekly monitoring of blood tests. Sometimes it includes partial amputations of toes, feet, or even the leg.

Diabetic limb salvages are also popular, which essentially includes treatment of bone infections of the ankle and foot, as well as prevention of these problems. Incorporating specific rotation flaps for wound coverage and insertion of antibiotic bone spacers within the area of concern to aide in bone removal and replacement, is a suitable method to prevent major amputations and loss of legs. Most ulcerations of diabetic patients that are present for 3 months or more, may lead to underlying bone infections in weight bearing areas of the foot if not treated adequately. A qualified wound care specialist is essential for optimal outcomes.

Diabetic patients also require prophylactic treatment and maintenance with routine foot examinations and vascular studies to rule out limb threatening vascular disease.

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