Why is it bad to wait for surgery if needed for a foot wound?

This is Dr. Don Pelto.  Today I want to talk about why it is actually not good to wait for surgery if you need it for a foot wound.  I want to tell about an experience with one of my patients.  This patient, she was an older woman who had a longer second toe.  This toe, it developed a callus in the tip and eventually that callus turned into a sore, or an ulcer, and that ulcer went down into the bone and she had a condition called osteomyelitis, which is a bone infection.  For something like a bone infection, we typically have a couple of options.  You can either remove the infected bone or you can go on six to eight weeks of IV antibiotics to see if it will help heal up that bone infection that is in there.  We had an MRI done and it showed that there was actually infected bone and then i asked her to get the tip of the toe removed by a vascular surgeon.  This was delayed a little bit and during the time of delay, she actually got an infection in the toe.  This is the main reason why you do not want to delay.  If you think you need surgery for a food wound, you should have surgery as quickly as possible to help prevent risk of infection, and that is the main reason we want to get ulcers healed anyway, is to have a reduced risk of infection.  So that is the tip for this week.  If you have a wound that eventually will need surgery, try to get that surgery as quickly as possible.

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