savelegs.com

18/07/2023

https://savelegs.com/bedsores-diabetic-foot-clinic/

What are bedsores? Know about them and how to treat them at the Save Legs Diabetic Foot Clinic & Wound Care Centre

02/02/2023

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.

16/01/2023

Treatment of the Diabetic foot : Different conditions but same modalities
Multiple modalities are there for the treatment of diabetic foot problems. Here I present three different conditions but wound care modalities used were the same. However the overall management differed in all three. Thing to remember is that the treatment has to be individualised to every wound. No single or combination of wound care modalities can treat a wound on their own. No therapy is an end unto itself and any therapy needs to be used as per stage of the wound. Regular follow up of the patient by the treating doctor rather than leaving it to paramedics and wound care company reps, is in the best interest of the patient. Wound care is about getting down and in and be willing to get your hands dirty, rather than just scanning the wound from afar using pics.

12/01/2023

Treatment of the Diabetic foot - Focus on NPWT
Multiple modalities are present. One of the commonly used ones is Negative Pressure/Vacuum Assisted Closure etc. However rampant use/misuse of this therapy has led to less than optimum results and loss of limbs. I present here some of our findings with regard to the use of VAC/NPWT in the diabetic foot in the hope that using various therapies appropriately as per wound requirement will help in salvage rather than loss of limbs. No therapy is an end unto itself and any therapy needs to be used as per stage of the wound. Regular follow up of the patient by the treating doctor rather than leaving it to paramedics and wound care company reps, is in the best interest of the patient. Wound care is about getting down and in and be willing to get your hands dirty, rather than just scanning the wound from afar using pics.

06/01/2023

Diabetic foot infection in a diabetic patient with hypertension.Patient had a history
of previous amputation of the 2nd toe.
Patient presented with a central plantar abscess and infection extending to the ankle.
Sugars were raised >450mg% and leucocyte counts were > 25000/cu mm.
Debridement and central plantar
space exploration was carried out at
the Save Legs Diabetic Foot Care
Clinic in Hyderabad
Culture & sensitivity results showed
multiple resistant organisms
Advanced wound care materials were used and
systemic management was done.
Patient healed completely without loss of any other part
of the foot and was mobilised in customised footwear

30/10/2022

These are pictures of a patient who came with a necrotic Achilles tendon and after treatment at multiple outside centres. Patient was a diabetic with peripheral arterial disease and was in sepsis and severe pain on presenting to us. The leg and overall condition were assessed and patient taken up for surgery. The whole posterior compartment of the leg was necrotic as the picture shows. After surgery and advanced wound care, patient was mobilised after complete healing in about two months.

09/06/2022

24/01/2022

What is an ULCER?
An "Ulcer" means a break in the layer of cells on a surface. Ulcers can form anywhere on the skin or inside the body like stomach ulcers. However we are talking here about Leg Ulcers.
A leg ulcer forms when the skin breaks down or erodes allowing infection to get into the underlying tissue. Such ulcers can be there for years and may not heal. Much research has shown that the cause of such long standing ulcers is due to the blood supply of the leg. It can be due to venous, arterial or mixed causes. Various creams, antibiotics and dressings may not help the ulcer to heal unless the underlying cause is treated, which is the blood supply to the skin. Therefore successful treatment & prevention of leg ulcers lies in correcting the underlying cause & not the ulcer itself.

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12/12/2021

Diabetic patient with central plantar abscess. Patient had calcified vessels and chronic kidney disease. Supportive therapy was started. Surgery to debride and drain the central plantar space was done. Patient was put on Hyperbaric oxygen and silver dressings. Patient healed completely and was mobilised in customized footwear.
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07/12/2021

65 Years male patient. Known diabetic and chronic to***co chewer. Presented with a necrotic foot, sepsis, central plantar space abscess. Patient was debrided, central space opened and drained. Supportive therapy and silver dressings were started. Wound healed completely in 5 months and patient mobilised in customized footwear.











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27/11/2021

Patient was a known diabetic and hypertensive. Was suffering from a chronic ulcer of the left foot since more than two years. Patient was operated, seasmoidectomy done and later mobilised with diabetic customized footwear. No recurrence at >2 years.
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