Conservative management of diabetic foot osteomyelitis?

Here is an intriguing brief report from Acharya and coworkers from Lancashire, UK in Diabetes Research and Clinical Practice. It again reminds us that, in some cases, amputation is not a foregone conclusion.

In this retrospective study, 130 patients with diabetic foot osteomyelitis were analysed. 66.9% of these healed with antibiotic treatment alone and 13.9% needed amputation, of which 1.5% were major. Presence of MRSA was associated with adverse outcome (53.3% vs 21.1%, p = 0.04) which was defined as death, amputation and failure to heal.

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