Skin : Diabetes
Diabetic foot ulcer in a 84 year old lady in the back of the foot
An 84-year-old woman, with severe diabetes and limited mobility, developed a painful ulcer at the back of her heel/ankle — a notoriously difficult area to heal, especially in diabetic patients.
Due to her age and reluctance to undergo surgery or skin grafting, we opted for conservative wound care.
Treatment Highlights:
🔹 Regular dressings
🔹 GFC (Growth Factor Concentrate) Injections
🔹 PDGF Therapy (Platelet-Derived Growth Factors)
The response was excellent — the wound showed rapid healing without the need for surgery or grafting. This video demonstrates how modern biological therapies can help even in complex diabetic wounds.
What is GFC
Growth Factor Concentrate (GFC) is an advanced wound-healing solution that aids in the recovery of difficult-to-heal wounds using lysate technology. It accelerates healing, reduces recovery time, and promotes longer-lasting outcomes.
GFC is a carefully formulated blend of essential growth factors, cytokines/chemokines, bioactive proteins, and adhesive proteins — all derived from activated platelets with regenerative potential.
It is a natural, chemical-free, and animal product–free formulation. Importantly, GFC offers a uniform concentration of growth factors, ensuring consistent and reliable clinical results.
Limb Salvage in Diabetic Smoker with Toe Gangrene | Avoided Below Knee Amputation
This is the story of a diabetic and chronic smoker who developed gangrene of the left great toe, which had to be amputated. Unfortunately, the wound did not heal despite undergoing limb angiogram and stenting.
He was advised a below-knee amputation, but before going ahead, he was brought to us for a second opinion.
Through a combination of:
🔹 Repeated Negative Pressure Wound Therapy (VAC)
🔹 Skin Grafting
🔹 Careful Wound Suturing & Monitoring
We were able to save the limb and avoid major amputation. This case highlights the importance of proper wound care, limb salvage techniques, and patient perseverance.
Diabetic Foot Ulcer – Healed with Internal Offloading
A 2-year-old diabetic ulcer on the right great toe had not healed despite regular dressings, repeated debridements, and offloading measures advised by the treating doctors. The patient had been under continuous care but saw no significant improvement.
On evaluation, we performed a Keller’s Gap Arthroplasty – a surgical procedure that provides internal offloading by relieving pressure on the ulcer from within the foot. This approach led to excellent wound healing. The patient was able to walk comfortably after just two weeks of rest. This case highlights the crucial role of internal offloading in non-healing diabetic foot ulcers.
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