AUTHOR=Chen Yuedong , Yang Hui , Wang Wei , Chen Yinchen , Jiang Dong , Li Yihui , Li Liyi , Yang Wengbo , Wang Aiping TITLE=Staged management of a large ischemic heel ulcer in a diabetes patient: a case report JOURNAL=Frontiers in Endocrinology VOLUME=14 YEAR=2023 URL=https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2023.1198818 DOI=10.3389/fendo.2023.1198818 ISSN=1664-2392 ABSTRACT=

Heel ulcer is one of the severe complications of patients with diabetes mellitus, which poses a high risk for foot infection and amputation, especially in patients with peripheral arterial disease and neuropathy. Researchers have searched for new treatments for treating diabetic foot ulcers in recent years. In this case report, we demonstrated the treatment of large ischemic ulcers for the first time in a diabetic patient. The overall treatment goal of this patient was designed to improve blood supply to her diseased lower extremities and close the ulcer. This two-stage reconstruction approach resulted in an ulcer-free, stable, plantigrade foot at postoperative follow-up.