Can every ulcer be reconstructed with a flap?

Only if infection is controlled and blood supply is adequate. Otherwise simpler closure or amputation may be safer.

Is this an emergency?

Spreading infection, gas in tissues or systemic sepsis is an emergency. Chronic ulcers still need timely specialist care.

The aim is to salvage a functional foot. Extent of infection and vessels decide what can be saved.

What can I do to prevent another ulcer?

Glucose control, daily foot inspection, proper shoes and prompt care of new wounds are essential.

Diabetic foot surgery

Op. Dr. Halil Işık, Göztepe Prof. Dr. Süleyman Yalçın City Hospital, Kadıköy.

Medical content: Op. Dr. Halil Işık · Last updated: 6 October 2026

Diabetic foot wounds combine neuropathy, ischaemia and infection. Surgery may include drainage, debridement, minor amputation or reconstruction, always alongside medical and vascular care.

Who it may be for

People with diabetes and foot ulcers, abscess or gangrene need urgent assessment. Blood sugar, vessels and off-loading are part of the same plan as the operation.

How the procedure is performed

Infected tissue is removed; viable tissue is preserved. Reconstruction is considered only on a clean, vascularised bed. Some patients need revascularisation first.

Recovery

Off-loading, dressing changes, antibiotics and glucose control continue after surgery. Healing is slow. Footwear and follow-up prevent recurrence.

Risks and consultation

Ongoing infection, further amputation, delayed healing and readmission are common in this disease, even with correct surgery.

Frequently asked questions

Can every ulcer be reconstructed with a flap?: Only if infection is controlled and blood supply is adequate. Otherwise simpler closure or amputation may be safer.
Is this an emergency?: Spreading infection, gas in tissues or systemic sepsis is an emergency. Chronic ulcers still need timely specialist care.
Will I keep my foot?: The aim is to salvage a functional foot. Extent of infection and vessels decide what can be saved.
What can I do to prevent another ulcer?: Glucose control, daily foot inspection, proper shoes and prompt care of new wounds are essential.

Lower extremity reconstruction

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This content is educational and does not replace a medical examination. Results vary. No outcome can be guaranteed.