Mobilitätsadjustierte operative Strategien beim Diabetischen Fußsyndrom (DFS). Oft ist weniger mehr

Mobility with simultaneous offloading of ulcers is increasingly becoming the focus of treatment for people with diabetes and foot wounds or a Charcot foot. Maintaining independence and reducing the risk of further complications can potentially improve long-term outcomes. Surgical options adapted to the person’s mobility level are very helpful in this regard. Procedures of internal offloading are minimally invasive at best and are alternatives to amputation. Fear of these procedures is therefore not justified, as the main complication is usually precisely this amputation. Despite the high potential of these interventions, especially for a permanent solution to problems, they are not adequately included in therapy planning and not used due to a lack of experienced surgeons or a lack of knowledge of the procedures among conservatively active therapists. For the outcome of the surgical procedure, it is imperative to exclude discontinuation of therapy due to neuropathy-related issues.