DOI: https://doi.org/10.22263/2312-4156.2025.6.73
V.P. Bulavkin1, Y.S. Ladzik1, S.M. Yermashkevich1, V.V. Zuzenko2, O.V. Novikova2
Treatment of feet extensive ulcerative defect in diabetic foot syndrome
1Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
2Vitebsk Regional Clinical Hospital, Vitebsk, Republic of Belarus
Vestnik VGMU. 2025;24(6):73-79.
Abstract.
A large number of people suffer from diabetic foot syndrome (DFS) in the world, and every year the number of such patients is increasing. Ulcerative defects of the feet are a fairly common problem in patients with DFS, leading in some cases to the need for «high» amputations of the lower limbs and causing death in patients of this group. Currently, the maximizing organ-preserving approach is used in the management of patients with DFS, the main goal of which is to preserve the supporting function of the foot, as well as maintaining the patient’s ability to work, which affects the social and economic well-being of the population and the country. Performing plastic surgery on the foot allows one to close defects of various areas and depths on different surfaces of the foot, while the greatest problem is the closure of wound defects on the plantar surface of the foot. Currently, wound plastic surgery is performed using local tissues, a free split skin flap, a full-thickness flap, a de-epithelialized skin flap, sural flap plastic surgery, vascular pedicle plastic surgery, etc. In this case, the problem of survival of these flaps becomes especially relevant. We have described a clinical example of combined treatment of a defect of the plantar surface of the foot in patients with diabetic foot syndrome using an automyelo-fibrinous-platelet clot.
Conclusions. The presented clinical example can be used in clinical practice to close extensive ulcerative defects of the plantar surface of the foot in patients with diabetic foot syndrome.
Keywords: diabetic foot syndrome, foot ulcer, surgery, de-epithelialized skin flap, platelet-rich plasma, automyelotransplantation.
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Submitted 10.09.2025
Accepted 10.12.2025
Information about authors:
V.P. Bulavkin – Candidate of Medical Sciences, associate professor of the Chair of Hospital Surgery with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University;
Yulia S. Ladzik – postgraduate, lecturer of the Chair of Hospital Surgery with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University, https://orcid.org/0000-0002-5563-0275, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.;
S.M. Yermashkevich – Candidate of Medical Sciences, associate professor of the Chair of Hospital Surgery with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University, https://orcid.org/0000-0002-0866-9070
V.V. Zuzenko – surgeon of the purulent surgical department, Vitebsk Regional Clinical Hospital;
O.V. Novikova – surgeon, Republican Scientific and Practical Centre “Infection in Surgery”, Vitebsk Regional Clinical Hospital.
