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Defect reconstruction of an infected diabetic foot using split- and full-thickness skin grafts with adjuvant negative pressure wound therapy: a case report and review of the literature

Introduction. Any alteration or impairment to normal wound healing can result in the development of chronic wounds, which may lead to serious complications such as infection and loss of body fluid and proteins. Primary closure alone may not be sufficient to fulfill the criteria of successful defect reconstruction. Therefore, additional procedures such as skin grafting must be considered as an option. Case Report. The case of a 43-year-old woman with diabetes who was admitted to the University Hospital Rebro (Zagreb, Croatia) due to an infected, nonhealing wound on her left foot. Skin grafts combined with negative pressure wound therapy (NPWT) before and after graft application improved wound healing in this patient. Conclusions. In this patient, the combination of skin grafts with NPWT before and after graft application reduced the comorbidities and complications often seen in the diabetic patient population. Herein, the authors utilized a quicker, cost-efficient, and safer technique of wound closure compared with traditional nonsurgical methods.

charcot foot ; full-thickness skin graft ; negative pressure wound therapy ; npwt ; foot reconstruction ; split-thickness skin graft ; diabetic foot ; infection ; skin graft

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