An Orthopaedist's Review of Diabetic Foot Wounds and Osteomyelitis

Matthew R. DeSanto, BS; Luke V. Weber, BS; Emmanuel Nageeb, BS; Kyle Petersen, MD; Jeffrey Junko, MD


Curr Orthop Pract. 2020;31(5):423-428. 

In This Article


This review provides a succinct, yet comprehensive, review of diabetic foot ulcer etiology, diagnostics, and up-to-date treatments. The etiology of diabetic foot ulcers stems most prominently from sequelae of neuropathy, leading to increased adverse events and improper healing function. Treatment is wide-ranging and includes various surgical and non-surgical options with differing parameters. Focusing on the need to emphasize proactive measures including lifestyle modifications, patient education, and nutritional dietary regimens may aid in preventing pathological changes and severe progressions. Future research is necessary to continue advancing our understanding of diabetic foot ulcer treatments in order to provide the most clinical improvement in treated patients. A multidisciplinary approach should be made to help patients achieve the best possible outcomes by reducing cost, deaths, and amputations and improving overall quality of life.[4,64,87]