What should I do if my diabetic toe doesn’t heal after being amputated?

  Patient consultation: I had my foot amputated in the hospital at the beginning of the year, and I thought it would be fine, but now the problem is that the post-operative wound is not sealing at all, and it won’t grow. The doctor gave me the feeling that I have no confidence and I see no ability to do so. I just want to know, is it really hard to grow well? Also, what method do you all use to treat it?  Doctor: It’s very common about diabetic foot wounds not healing after surgery, especially after toe surgery. I think the reasons are as follows: First, doctors do not know enough about diabetic foot. Everyone thinks that it is a minor surgery, so according to still follow the conventional surgical or orthopedic thinking to surgery to deal with, the postoperative care lack of endocrinology participation.  Second, the special location of the foot, the lack of diabetic foot doctor’s advice when walking, do not pay attention to it will give improper pressure on the wound. This is not like the wound that is still infected from the surgery, the proper squeezing of the infected wound is good for the drainage of the inflammatory tissue, and it is not okay to have a fresh wound just after the surgery.  Third, the wound itself is difficult to heal and easy to infect. This is the characteristics of the diabetic patients themselves, but also one of the reasons why diabetic wounds are not well cured. After surgery, the wound can not heal for a long time, germs will breed, after the emergence of inflammatory necrotic tissue, and will continue to erode more healthy tissue, the infection is not controlled will also accumulate around.  Fourth, the lack of targeted wound treatment. For the postoperative wound has been infected, no effective and thorough wound treatment, in addition to infection is not good control, inflammatory tissue covering the surface of the healthy wound, will prevent the patient’s own wound self-healing and resistance.  V. Postoperative wound treatment. According to the cases of Yuan Minqin Sugarfoot Center, some healthy tissues are often reserved after toe amputation, mainly for the purpose of suturing. Then the problem comes, because the suture is also difficult to achieve strict asepsis, and the characteristics of diabetes itself determines the breeding and growth of anaerobic bacteria under the wound, it will aggravate the infection.  After summarizing several common factors that are inappropriate or affect wound healing, my suggestion is to receive treatment at a specialized diabetic foot specialist, because not only will several of the above factors be taken into account, but it will also help to take advantage of the expertise. If you’ve already had surgery, stop falling in one place and get your treatment plan corrected to avoid aggravation!