Diabetic Foot Surgery

As Op. Dr. Halil İbrahim Öçalan, we provide expert diabetic foot surgery services in Gaziantep. Diabetic foot refers to serious complications seen in diabetes patients due to nerve damage (neuropathy), circulatory disorders and immune system weakening. With early diagnosis and appropriate treatment amputation risk can be significantly reduced.

What Is Diabetic Foot Syndrome?

Prolonged high blood sugar causes nerve damage (diabetic neuropathy) and narrowing of blood vessels in diabetes. This condition creates loss of sensation in feet, deformities, wound formation and infection risk. If diabetic foot ulcers are not treated gangrene can develop requiring amputation.

Risk Factors

Long-term diabetes (over 10 years)
Poor blood sugar control
Diabetic neuropathy (sensory loss)
Peripheral arterial disease (circulatory disorder)
Foot deformities (bunions, clubfoot, hammertoe)
Previous foot injuries or amputations
Smoking
Kidney disease

Diabetic Foot Ulcers

Sensory neuropathy reduces pain sensation in feet so small wounds go unnoticed and grow. Ulcers formed at pressure points become prone to infection.

Ulcer Classification (Wagner)

Level 0: Skin integrity preserved, risk area
Level 1: Superficial ulcer
Level 2: Deep ulcer, no bone or joint involvement
Level 3: Deep ulcer with osteomyelitis (bone infection)
Level 4: Localized gangrene (heel or toes)
Level 5: Generalized gangrene

Treatment Approaches

Diabetic foot treatment requires multidisciplinary approach. Our goal is to promote wound healing, control infection and prevent amputation.

Non-Surgical Treatment

Blood sugar optimization (endocrinology collaboration)
Circulation assessment and vascular surgery consultation if needed
Wound care and debridement (dead tissue removal)
Pain management
Compression therapy (edema control)
Offloading devices (pressure reduction)

Surgical Treatment

Debridement: Surgical cleaning of dead and infected tissue
Revascularization: Bypass or angioplasty in vessel blockages
Osteomyelitis treatment: Bone resection in bone infection
Deformity correction: Osteotomy to eliminate pressure points
Burow surgery: Emergency debridement in severe infections

Amputation Prevention

In diabetic foot amputation is last resort. With early intervention many patients can preserve their limb. Multidisciplinary foot clinics play important role.

Prevention Strategies

Daily foot examination (self or family member)
Washing and drying feet daily
Moisturizing cream use (except between toes)
Regular shoe inspection
Protective socks
Avoiding risky activities (hot water, barefoot near heaters)
Professional foot care (pedicure by podiatrist)

Op. Dr. Halil İbrahim Öçalan's Approach

In diabetic foot patients we minimize amputation risk through early diagnosis, comprehensive evaluation and multidisciplinary treatment approach. We work in collaboration with endocrinology, vascular surgery and infectious disease specialists.

Appointment and Contact

Phone: +90 533 643 74 27 | Address: Özel Deva Hospital, Şahinbey/Gaziantep