Diabetic Foot Reconstruction Using SCIP Flap

Abstract

Worldwide, approximately 15% of patients with diabetes mellitus will develop foot ulcers during their lifetime. Limb salvage procedures can increase the 5-year survival rate and also improve the quality of life. Multidisciplinary team approach is very important to manage the wound in every medical aspect. Hyperglycemia, nutritional status, infection, and underlying medical condition should be addressed and controlled. Diabetic foot ulcer should be debrided under angiosome concepts. Computed tomography angiography plays the role for vascular status evaluation. Control of the infection and wound bed preparation should be achieved before soft tissue reconstruction. Microsurgery in diabetic foot patients has 91.7% success rate which is comparable to nondiabetic foot reconstruction. In this case, a patient who developed infected diabetic foot ulcer at the plantar surface area is presented. After multiple debridement sessions and also systemic medical control by a multidisciplinary team, soft tissue coverage was performed using superficial circumflex iliac artery perforator flap.