Outcomes after foot surgery in people with a diabetic foot ulcer and a 12-month follow-up

Lenselink, E., Holloway, S. and Eefting, D. 2017. Outcomes after foot surgery in people with a diabetic foot ulcer and a 12-month follow-up. Journal of Wound Care 26 (5) , pp. 218-227. 10.12968/jowc.2017.26.5.218

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Abstract

Objective: The aim of this study was to retrospectively measure the outcomes of foot-sparing surgery at one year follow-up for patients with diabetic foot ulcers (DFUs). We assessed wound healing and the need for further surgery in relation to the variables that influence healing. Method: Data were retrospectively collected by reviewing the electronic files of patients attending the Wound Expert Clinic (WEC). Outcomes of surgical debridement, toe, ray and transmetatarsal amputations were assessed. Results: A total of 129 cases in 121 patients were identified for inclusion. The results demonstrated that complete wound healing was reached in 52% (61/117) of the patients within 12 months. The need for additional surgery or for major amputation was 56% (n=72/129) and 30% (n=39/129) respectively. The need for an additional procedure was particularly high after surgical debridement (75%, 33/44) and transmetatarsal amputation (64%, 7/11). Risk factors for non-healing or for a major amputation were: infection (p=0.01), ischaemia (p=0.01), a history of peripheral arterial occlusive disease (p<0.01) and smoking (p=0.01). Additional findings were that not all patients underwent vascular assessment and in half of the patients there was a delay in undergoing revascularisation. Conclusion: The results of the study reveal some areas for improvement including timely revascularisation and performance of multiple debridement procedures if needed in order to save a limb

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Schools > Medicine
Publisher:	MA Healthcare
ISBN:	09690700
ISSN:	0969-0700
Last Modified:	19 Feb 2026 12:30
URI:	https://orca.cardiff.ac.uk/id/eprint/185040

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