How to surgically manage a diabetic foot.

I am Dr. Premkumar, diabetic foot surgeon.This video is mainly for young surgeons and postgraduate students who want to deal with diabetic feet. So diabetic foot to start with. If they plan any surgical procedure, they should have a clear vision. You how they start with an incision. So in a diabetic foot, the infection tends to spread across particular lines.

So I’m going to tell you when to suppose, for example, if it is a Tropical ulcer set of the first metadata place and if it is infected, it seems to spread across the underlying tendon. Say, for example, for this site; it will probably spread across the flux or hali suspended. So like this. So the incision should be planned vertically to if at all it is required, you can find incision. You can extend further also, or else if you want to give a very good lateral clearance, you can do a crisscross incision also.

So you have to trace the tendon. That is foremost important. You have to plan any incision like that so that you can trace the tenant how much you require. So if you come for ten all the tenants, it will travel in this dash section towards the flux retinacloth. So this is the flux that tunnel.

So if you cut the Fluxr tunnel, you should be careful not to injure your posterity. So like that, the anatomy of the vessels is also the doctor should know so that they will be very careful once they come at that point. Suppose if it is an ulcer at the toa site, if any person wants to debride that one, the disturbance should be taken care of. If you debride the website, the digital vessel, if they enjoy their response for vascular compromise and it may turn into gambling also. And if it comes for incision again, one more point.

I want to tell you that the incision should be a lengthy incision to give excellent, thorough debris. If you put a small incision and don’t have adequate debris, your patient will come again, and you need to go for second stage debridement. So usually, it is better to avoid that one and the anatomy of the underlying muscular-skeletal structure and tendon origin. Also, it is essential. So suppose if you plan for a partial foot amputation, it is okay if it is a forefoot.

If you go for a midfoot or high midfoot, sometimes you may tend to cut. This table is an anterior tendon. So then the foot mostly will go for equality. To correct that on the table, you can lengthen this sensation. You see this one; you need to lengthen this TB or Z plus C.

Thereby you can reduce that ecommerce deformity. So all these things, even though they may seem minor, are essential when it comes to practical aspects in diabetic food and everything. The consequences and complications, as well as the probable complication. All these things need to be informed to the attendant rotation by the standard. Well, before you plan any surgical procedure and more than that, the coverage of the wound.

Either it could be drafted, or it could be split. Cover all these things. You need to tell that one as a second stage procedure. Sometimes it is better to do as a second stage procedure in an infected bone. So all these things you need to tell them before so that the patient will be ready for everything and the duration and probably recovery. Also, if you speak to the patient attended, your practice will be comfortable, and the patient won’t have many questions about that. So thanks for watching in this simple business.