Hand & Reconstructive Surgeon, India
Dr L Lateesh, is a practicing Hand & Reconstructive Surgeon with over 15 years of experience having excelled in successfully performing complicated surgeries.
Foot ulcers are a serious complication of diabetes; arising due to neuropathy, angiopathy ,arthropathy , tendinopathy leading to altered biomechanics of the foot .The ulcers will risk the patients with infections, amputations and will have significant socioeconomic impact .The aim of the study is to setup guidelines in the approach and treatment of diabetic foot ulcers and reduce the risk of amputations . An analysis of 200 patients from 2013 to 2017 who presented to our podiatry clinic was grouped based on the location of the ulcers ,severity of the ulcer , causative factors and co morbidities . The patients who underwent surgical offloading and reconstructive procedures were followed up (average follow up 2.3Years) and outcomes evaluated based on the wound healing and complications . The study proves that appropriate surgical offloading has a significant role to play in reducing the incidence of amputations and complications in diabetic patients.