Best Diabetic Foot Surgeon in Bangalore
Diabetic foot problems can progress rapidly due to neuropathy, poor circulation, repeated pressure, and infection. When conservative treatments fail, surgical management becomes essential to control infection, restore foot alignment, prevent disability, and protect the limb from major amputation. Early, expert surgical intervention helps in limb salvage, faster healing, and preventing complications.
At Happy Diabetic Foot & Podiatry Center, Dr Uday Ravi the best diabetic foot surgeon in bangalore specialize in advanced diabetic foot surgeries that are minimally invasive, precise, and aimed at preserving maximum limb function.
Why Surgical Management is Needed in Diabetic Foot?
Many diabetic foot conditions do not heal with dressing, antibiotics, or offloading alone. Surgery is indicated when there is
- Persistent or spreading infection
- Deep abscess
- Osteomyelitis (bone infection)
- Severe deformity causing ulcer formation
- Non-healing ulcers due to pressure points
- Tendon imbalance
- Gangrene or tissue death
- Risk of limb loss
Early surgical correction prevents ulcers, speeds wound healing, and protects the foot from further damage.
Types of Surgical Procedures in Diabetic Foot
1. Minor Foot Surgeries
Minor surgical procedures are performed to manage early-stage infections, remove devitalized tissue, and promote healing.
This includes
- Debridement (removal of dead tissue, slough, callus)
- Incision & drainage of abscess
- Removal of foreign bodies
- Small wound revisions
This helps in preventing spread of infection, reduces bacterial load, accelerates healing and avoids major surgeries later. These procedures are often performed under local anaesthesia and require minimal downtime.
2.Toe Correction Surgery for diabetics
Toe deformities like hammer toe, claw toe, mallet toe are common in diabetics due to neuropathy and muscle imbalance. These deformities increase pressure points and lead to recurrent ulcers.
Toe Correction Includes:
- Flexor tenotomy
- Proximal interphalangeal (PIP) joint fusion
- Soft tissue balancing
- Realignment procedures
Advantages
Toe correction surgery helps to reduce ulcer risk, corrects abnormal pressure, improves walking and prevents future deformities. Toe correction is a key part of preventive diabetic foot surgery.
3.Nail Surgery for diabetic foot
Ingrown toenails, thickened nails, and fungal nails can trigger infections in diabetic patients.
Types of Nail Surgeries
- Partial Nail Removal (PNA)
- Total Nail Removal (TNA)
- Matrix Ablation to prevent recurrence
- Treatment of infected nail folds
It is required when there is
- Recurrent ingrown nails,
- Nail infections not responding to medicine
- Nail causing pressure ulcers
Nail surgeries are quick, effective, and prevent future infections.
4.Tendon Balancing Surgery in diabetic foot
Neuropathy causes abnormal pull of tendons, leading to high-pressure areas and ulcers.
The common tendon procedures done are
- Achilles tendon lengthening
- Plantar fascia release
- Flexor or extensor tendon release
Tendon Balancing Surgery helps in
- Reducing forefoot pressure
- Helps chronic ulcers heal
- Corrects gait imbalance
- Prevents ulcer recurrence
Tendon balancing is crucial for long-term limb preservation in diabetics.
5.Limb Salvage Surgery
When infection reaches deeper layers or bone, limb salvage procedures help avoid major amputation.
Limb Salvage Includes
- Wide debridement of infected tissue
- Removal of infected bone (osteotomy)
- Reconstruction of soft tissue and skin
- VAC therapy support after surgery
- Bone stabilizing procedures
- Skin grafts and flap surgeries
The goal is to
- Preserve maximum limb length
- Restore function
- Prevent disability
- Avoid below-knee or above-knee amputations
Early limb salvage surgery improves outcomes significantly.
6.Amputation
Despite modern techniques, amputation may be required in advanced cases only when the circumstances are unavoidable and is life saving procedure.
Amputation is indicated in
- Life-threatening infection
- Spreading gangrene
- Non-viable dead tissue
- Uncontrolled sepsis
- Severe loss of blood supply
Types of Amputations
- Toe or ray amputation
- Transmetatarsal amputation
- Below-knee amputation (BKA) – rare and only life-saving
Our approach focuses on preserving limb function, and major amputation is always treated as a last resort.