A case report of the bilateral heels necrotizing fasciitis in diabetic type II patient: surgical management
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Abstract
The heel ulcer itself is usually need special care for healing. When complicated with diabetic disease, the severity heel ulcer will more. Multidisciplinary treatment approach is needed to heal the chronic diabetic heel ulcer patient. While most of the cases were and up with primary limb amputation, we reported a successful case management of the bilateral chronic diabetic heels ulcer. To report a successful management of the bilateral heels necrotizing fasciitis in diabetic type II patient. A case report by history taking and patients’ chart review
Amputation of heel is significantly end up with limb amputation, because of the inadequate blood circulation and infection. Superimposed on diabetes contribute to more serious complication of heel ulceration. A good assessment of affected limb vascular supply and a good blood sugar control are critical success factors in heel ulcer healing. Multidisciplinary team approach is necessary in caring this group of patients. Simple surgical techniques such as debridement, partial bone excision, and primary wound closure are enough to headle heel wound in a good vascular supply and good blood sugar control patient.
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References
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