Tag Archives: #podiatrist

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Charcot Foot with Fracture

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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. 
 
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Charcot foot with Osteomyelitis

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This is a Charcot foot in a diabetic. Patient had a long standing draining wound on the foot. Xray showed a fracture of the base of the fifth metatarsal along with osteomyelitis.

Two months after surgery the wound had closed completely

An Xray taken six months after treatment was started, showed complete resolution of the osteomyelitis and the fracture of the base of the fifth metatarsal had healed.

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Cellulitis of the Leg in Diabetics

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Cellulitis Leg in Diabetics Cellulitis of the leg

Cellulitis of the lower limb. Many cases of cellulitis do not require surgery unless necrosis has set in, when the patient needs debridement, or then there is a compartment syndrome(Swelling in the leg which is not settling with conservative means leading to gangrene etc), when a fasciotomy may be needed. This and similar cases are usually treated with medicines and other supportive therapy to heal the wounds. The patient however usually needs to be admitted for a few days to undergo the treatment. After this is done and the cellulitis has settled down, we usually investigate to know the cause, especially in cases of recurrent cellulitis and might suggest a surgery or medicine or supportive treatment to try and prevent future recurrences.

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Heel Gangrene

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Heel Gangrene

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Charcot Foot with central plantar abscess

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Charcot Foot with Plantar Abscess Charcot Foot With dorsum infection

CHARCOT FOOT with communicating ulcer : Central Plantar Space to Dorsum of foot laterally Patient was a diabetic & presented in Sepsis After surgical debridement , Silver Dressings and Advanced Wound Care healed completely and was mobilized in a pneumatic walker.

Diabetic Charcot Foot

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