There are situations where I'm not sure if limb salvage is better than a below the knee amputation. These situations are very complex and patient specific, making it difficult to research, so I can't offer advice based on research and evidence. In my opinion, as long as there is a possibility that we can save … Continue reading Extreme Limb Salvage Case #1
This man came into the hospital with a wound on his right foot with some swelling and redness. His x-ray did not show evidence of bone infection or gas. An MRI was ordered which showed a bit of swelling in the muscles and skin, no abscess or bone infection. He was awake and talking pleasantly. … Continue reading A subtle diabetic flesh eating infection
This is a patient of mine who have had toes amputated from infected foot ulcers before, so unfortunately he already knew that he has a bad infection in his foot. The knuckle underneath the third toe is exposed and there is pus deep within his foot, making his third toe very swollen. It is possible … Continue reading Deep foot infections do not always end in foot amputation
A Zebra in a Stampede of Horses The overwhelming majority of bone infections in diabetic feet are called contiguous spread osteomyelitis, meaning the bone infection began by spread from an area close by. There exists something called hematogenous spread osteomyelitis, meaning the bone infection began by spread from the bloodstream. Let me explain. When you get a cut, … Continue reading Why Bone Infections and Foot Ulcers Go Hand in Hand
This is something that can happen, where you have a deep foot ulcer, and rightly so, your doctor is concerned and suspicious for a bone infection because of how deep the ulcer is. An x-ray is ordered, which is negative. Well, x-rays are not very sensitive for bone infection, so next, a MRI (magnetic resonance … Continue reading Doc! Do I Have A Bone Infection?