A Case Report of Bilateral Heels Necrotizing Fasciitis in Diabetic Type II Patient: Surgical Management
Keywords:
Necrotizing fasciitis, diabetic type II, heel woundAbstract
Objective: The heel ulcer itself usually requires special care for healing. Multidisciplinary treatment approach is needed to heal the chronic diabetic heel ulcer patient. While most of the cases ended up with primary limb amputation, we reported a successful case management of the bilateral chronic diabetic heel ulcer.
Method: A case report by history taking and patient’s chart review
Result and Conclusion: Amputation of heel significantly ended up with limb amputation, because of the inadequate blood circulation and infection. Superimposition on diabetes contribute to more serious complication of heel ulceration. A good assessment of affected limb vascular supply and a good blood sugar control are critical success factors in heel ulcer healing. Multidisciplinary team approach is necessary in caring for this group of patients. Simple surgical techniques such as debridement, partial bone excision, and primary wound closure are enough to heal heel wound in a good vascular supply and good blood sugar control patient.
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