Application of HBOT with Minimally Invasive Guided Surgery to Heal chronic Brooker 4 Diabetic Ulcer

Abstract

Foot ulcers are a frequent precursor for a significant number of amputations in the diabetic population. This study presents a 71-year-old man with diabetes with a foot ulcer connected to a sinus fistula to a joint in his great toe. The patient was treated with a Minimally Invasive Image Guided (MIIGS) guided Interphalangeal Joint (IPJ) fusion with Hyperbaric Oxygen Therapy (HBOT) and injection of biologics with successful closure of the ulcer and resolution of surrounding cellulitis. Key points of study The patient had poorly controlled diabetes and severe foot ulcers, resulting in 2 amputated toes on the right foot Patient had 6 months of dressings and debridement’s and had been booked for amputation An IPJ fusion preceded and followed by HBOT sessions were successful in healing the ulcers and saving the remaining toe This approach shows promise as an alternative to amputation for diabetic foot ulcers, potentially reducing costs and improving patient outcomes This study suggests that a combination of MIIGS and HBOT can revolutionize treatment for diabetic foot ulcers. This approach offers a limb-saving alternative to amputation along with reducing the healthcare costs to the health industry and patients.