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Charcot foot with Osteomyelitis

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

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.

Heel Gangrene

Heel Gangrene

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Diabetic Charcot Foot

This is the case of an infected Charcot foot, with multiple areas of lysis and osteomyelitis of the tarsals and first metatarsal as is evident from the xray. Patient also had calcification of peripheral arteries. He came from one of the gulf countries where he had been under treatment since 5-6 months and was then advised forefoot/below knee amputation.
Patient was anatomically debrided, rheologics and other supportive treatment started. Offloading was with the help of a Patellar Tendon Bearing brace.
12 months later the foot had completely healed, lytic areas no longer evident on X ray. Patient was mobilized in a pressure reducing footwear.
The save legs diabetic foot clinic hyderabad India routinely treats patients with gangrene, diabetic foot infection, charcot foot, diabetic foot ulcers. Its comprehensive approach to diabetic foot problems has made it a referral centre for diabetic foot treatment with many patients coming from various states and outside the country too.

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