Use of autologous iliac crest graft and free anterolateral femoral skin flap in diabetic foot ulcers: a case report

ABSTRACT

Background

Diabetic foot has a great impact on the life of patients. Its treatment involves a multi-disciplinary and multi-direction approach, which requires not only soft tissue repair, but also bone reconstruction and functional repair.

Case presentation

A 51-year-old Chinese man with a three-year history of diabetes was diagnosed with ulcers in his left foot. We performed a successful procedure, and the different strategies we adopted helped to avoid serious complications during treatment. The patient was treated with debridement, bone cement, iliac crest graft, and anterolateral femoral skin flap, and recovered well.

Conclusion

There is a dearth of reports pertaining to treatment of diabetic foot in patients with midfoot bone and soft tissue loss. In this report, we present an effective method that we used to reconstruct the loss of midfoot in a patient with diabetic foot, illustrating a successful therapeutic strategy for saving limbs in this complex medical condition.

KEYWORDS:

• Anterolateral femoral skin flap
• diabetic foot, iliac crest graft
• reconstruction
• midfoot lesion
• osteomyelitis

Declaration of financial/other relationships

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties. Peer reviewers on this manuscript have no relevant financial or other relationships to disclose.

Author contributions

Conception and design of the research: Xin-Juan Sun,Yue-Dong Chen, Ai-Ping Wang. Acquisition of data: Jin-An Chen,Lei Wang, Gai Li, Lei-Lei Dong. Analysis and interpretation of the data: Meng Lu, Tian-Yuan Wang, Lei-Lei Dong. Statistical analysis: Xin-Juan Sun, Tian-Yuan Wang. Writing of the manuscript: Xin-Juan Sun, Jin-An Chen. Critical revision of the manuscript for intellectual content: Ai-Ping Wang. All authors read and approved the final draft.

Ethics statement

The ethical approval was not needed since this is a case report. Consent to participate and written informed consent to publish the details was obtained from the patient.

Additional information

Funding

This paper was not funded.