Free Tissue Transfer in the Treatment of Infected Diabetic Foot Ulcers

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Journal of the Korean Society for Surgery of the Hand 2001;10(2):154-162.
Published online November 30, 2001.

June Young Song, M.D., Ki Soo Kim, M.D., Hee Dong Kim, M.D., In Suk Park, M.D.

유리 조직 이식술을 이용한 당뇨병성 족부 궤양의 치료

송준영·김기수·김희동·박인석

Abstract

  Diabetic foot ulcer is a serious complication which result from long-standing diabetes. Especially, severe infected diabetic foot ulcer results in unwanted lower extremity amputation. The diabetic patient is considered the relative contraindication for microsurgery because of the severe peripheral vascular disease. Recently, microvascular free tissue transfer technique applied to diabetic foot ulcer. It is well known that free tissue transfer provides immediate soft tissue coverage and control of infection. So it is possible that preservation of the lower extremity through free tissue transfer.
  A retrospective study of diabetic patients who had infected foot ulcer from 1999 to 2000 with foot defects reconstructed with free tissue transfer were reviewed. Thirteen patients were studied with mean follow-up of 12.7 months. There were two deaths during follow-up period. There were two failures after free flap surgery. All eleven survived patients were ambulatory. There was no recurrence of ulcer. No patient need amputation above the ankle joint.
  We have found that free tissue transfer for infected diabetic foot ulcer is very effective surgical technique. Careful patient selection and regular follow-up is important.

Key Words: Diabetic foot, Infected ulcer, Free tissue transfer

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