Semin Plast Surg 1998; 11(2): 55-77
DOI: 10.1055/s-2008-1080252

© 1998 by Thieme Medical Publishers, Inc.

Salvage of the Diabetic Foot: Contemporary Approaches

William C. Pederson
  • Clinical Associate Professor, Departments of Surgery and Orthopaedic Surgery, The University of Texas Health Science Center; Attending Surgeon, The Hand Center of San Antonio, San Antonio, TX
Further Information

Publication History

Publication Date:
19 June 2008 (online)


Management of the diabetic patient with a foot wound has changed dramatically in the last 20 years. While amputation was the primary option in the past, this has been replaced by options allowing salvage of the limb and potential return to ambulation. The overall care of these patients has changed as well, owing to the use of a “team” approach involving the primary care physician, diabetologist, and foot specialist. The reconstructive surgeon may not be a primary member of this team but often becomes involved once the limb is reconstructed. This paper deals with the pathophysiology of diabetic foot wounds with emphasis on maintaining the patient's ambulatory status after salvage.