Debridement

 

 

Debridement of a diabetic foot ulcer is the first step in management.

 All necrotic tissue and surrounding callus should be debrided back to bleeding tissue.1 This allows full visualisation of the extent of the ulcer for assessment and removes any foreign matter which may lead to infection and delayed healing.2

Debridement_1
Debridement_2

Severe cellulitis associated with deep infection

Same foot after debridement to remove infected tissue

Common methods of debridement are sharp or surgical, autolytic, and enzymatic.

NOTE: There are some instances where debridement is not appropriate and careful assessment of the ulcer is essential.2


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