A Two-Stage Diabetic Foot Salvage Using Synthetic Bone Void Filler and Lesser Toe Fillet Flap: A Case Report. Issue 1 (20th January 2022)

• Record Type: Journal Article
• Authors: Lee, Jong Min; Del Balso, Christopher; Gupta, Sanjay; Tay, Sherilyn; Daniels, Timothy R.; Halai, Mansur
• Is Part Of: JBJS case connector. Volume 12:Issue 1(2022)
• Publication Date: 2022-01-20
• Subjects: diabetes -- ulcer -- fillet flap -- limb salvage -- synthetic bone void filler; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00514
• Languages: English
• ISSNs: 2160-3251

Abstract

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.