CME OnDemand: 2022 AOFAS Annual Meeting-The Pull-Through Technique: Surgical Augmentation for Debriding Mid- and Forefoot Diabetic Foot Infections

The Pull-Through Technique: Surgical Augmentation for Debriding Mid- and Forefoot Diabetic Foot Infections

Video Transcription

Video Summary

The video is a poster presentation on the pull-through technique for surgical augmentation in diabetic foot infections. The technique involves using smaller incisions on both the dorsal and plantar sides to maximize vascularity and preserve viable tissues. The study evaluated the technique's complications and outcomes in diabetic patients with osteomyelitis or abscess in the mid or forefoot. Out of 155 patients in the diabetic registry, 10 patients (with 18 procedures) underwent the pull-through technique. There were no skin or wound problems as a result, and only one plantar wound required re-debridement. Overall, 97% of the wounds healed completely. The authors conclude that this technique is a useful adjunct in managing diabetic foot infections.

Asset Subtitle

Dolfi J. Herscovici, Jr, DO, FAAOS and Julia M. Scaduto, APRN

Keywords

pull-through technique

surgical augmentation

diabetic foot infections

osteomyelitis

abscess