ABSTRACT

Despite the efforts of conservative therapy there will always be a percentage of wounds that will require surgical intervention in order to heal the wound. Typically this involves elimination of infection, surgical procedures designed to offl oad areas of increased pressure, improving diminished vascular fl ow or a combination of all of these. One randomized trial, conducted by Piagessi and coworkers (11), in an amalgam of a 21-patient cohort with various types of diabetic foot wounds, suggested that the time to wound healing was more rapid with surgical intervention than nonsurgical therapy.