Research advances on the application of free flaps in limb salvage treatment of patients with diabetic foot ulcers

VernacularTitle:游离皮瓣在糖尿病足溃疡患者保肢治疗中的应用研究进展
Author: Xin LIU ¹ ; Guangtao HUANG ; Jun WU
Author Information

1. 深圳市第二人民医院（深圳大学第一附属医院）烧伤整形创面修复科，深圳　518035
Keywords: Diabetic foot; Ulcer; Surgical flaps; Limb salvage; Wound repair
From: Chinese Journal of Burns 2024;40(10):985-990
CountryChina
Language:Chinese
Abstract: Diabetic foot ulcers (DFUs) is one of the severe complications of diabetes, which is difficult to treat and associated with a high risk of amputation. Current guidelines recommend that the plane of amputation be comprehensively assessed based on the degree of tissue necrosis and plane of vascular occlusion in DFUs, the age and systemic organ function of patients. However, the survival and quality of life of DFU patients suffering from amputation will be significantly affected. After reviewing the national and international literature and summarizing the experience of limb-salvage treatment of DFUs, we believe that free flap transplantation is of great significance for limb-salvage treatment to some patients with severe DFUs. In addition, this article also focus on analyzing the indications and perioperative precautions for patients with DFUs undergoing free flap transplantation.