Innovations in diabetic foot reconstruction using supermicrosurgery

• Published in: Diabetes/metabolism research and reviews Vol. 32; no. S1; pp. 275 - 280
• Main Authors: Suh, Hyun Suk, Oh, Tae Suk, Hong, Joon Pio
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01.01.2016; Wiley Subscription Services, Inc
• Subjects: Amputation; Combined Modality Therapy; Congresses as Topic; Debridement - adverse effects; Debridement - trends; Decision Trees; Diabetes; Diabetes mellitus; diabetic foot; Diabetic Foot - rehabilitation; Diabetic Foot - surgery; Diabetic Foot - therapy; Evidence-Based Medicine; Feet; Foot - surgery; Foot diseases; Humans; Leg ulcers; Limb Salvage - adverse effects; Limb Salvage - trends; Microsurgery; Microsurgery - adverse effects; Microsurgery - trends; Plastic surgery; Postoperative Complications - prevention & control; Precision Medicine; reconstruction; Reconstructive Surgical Procedures - adverse effects; Reconstructive Surgical Procedures - trends; Skin Transplantation - adverse effects; Skin Transplantation - trends; supermicrosurgery; Surgery; Therapies, Investigational - adverse effects; Therapies, Investigational - trends; Vascular Surgical Procedures - adverse effects; Vascular Surgical Procedures - trends; Wounds; reconstruction; supermicrosurgery; microsurgery; diabetic foot
• ISSN: 1520-7552; 1520-7560
• DOI: 10.1002/dmrr.2755

The treatment of diabetic foot ulceration is complex with multiple factors involved, and it may often lead to limb amputation. Hence, a multidisciplinary approach is warranted to cover the spectrum of treatment for diabetic foot, but in complex wounds, surgical treatment is inevitable. Surgery may involve the decision to preserve the limb by reconstruction or to amputate it. Reconstruction involves preserving the limb with secure coverage. Local flaps usually are able to provide sufficient coverage for small or moderate sized wound, but for larger wounds, soft tissue coverage involves flaps that are distantly located from the wound. Reconstruction of distant flap usually involves microsurgery, and now, further innovative methods such as supermicrosurgery have further given complex wounds a better chance to be reconstructed and limbs salvaged. This article reviews the microsurgery involved in reconstruction and introduces the new method of supermicrosurgery. Copyright © 2016 John Wiley & Sons, Ltd.