Tag Archives: #bestdiabeticfootsurgeoninhyderabad

Gangrene with Renal Disease & Diabetes

This was a patient referred from Saudi Arabia.

Chronic smoker, diabetic, peripheral arterial disease with end stage renal disease on hemodialysis thrice weekly. Patient had critical limb ischaemia and presented to us with gangrene of the left side first toe with  infection spreading to the proximal part of the foot with draining wounds.

Patient was operated, advanced wound care instituted and was also started on Hyper Baric Oxygen Therapy. Patient healed completely. Thereby the foot was saved and patient suffered loss of only one toe which was already gangrenous at presentation.

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Charcot Foot with Fracture

This is a case of diabetic charcot foot with fractured calcaneum. Patient had been to multiple hospitals before coming to us. Patient was asked to walk on the fractured calcaneum. No one bothered to take an x ray and only after we did an X ray we realised the patient had a fracture of the calcaneum. Patient came with a through and through wound on the plantar aspect of the foot, involving the heel. Calcaneum was evident on probing. We did advanced wound management and as the x ray show, the fractured calcaneum healed and patient was mobilised in customised footwear.