The wound healed completely within 3.5 months, with complete resolution of infection. All bones were preserved, maintaining the foot’s anatomy and function while avoiding unnecessary bone resection.

This case demonstrates that plantar sinus tracts do not always require bone resection; when bone involvement is absent, meticulous surgical exploration and complete excision of the sinus tract can eradicate infection while preserving the entire osseous architecture of the foot.

The wound healed completely within 2.5 months, with healthy granulation tissue and progressive wound contraction, achieving successful limb salvage.

This case demonstrates that even extensive ankle ulcers—despite their notoriously poor healing potential—can heal successfully with meticulous surgical debridement, appropriate wound bed preparation

The infection resolved rapidly, systemic sepsis subsided, and the wound healed completely within 2.5 months.

Early surgical source control successfully preserved the foot and prevented further spread of the infection, demonstrating that prompt and aggressive drainage of deep plantar abscesses is essential for limb salvage and can achieve complete healing without the need for amputation.

The wound healed progressively with healthy granulation tissue and marked reduction in wound size. Limb salvage was achieved despite the patient’s impaired healing capacity associated with diabetes and chronic hemodialysis.

This case demonstrates that even extensive leg ulcers in high-risk hemodialysis patients can heal successfully when meticulous surgical debridement is combined with appropriate wound care and compression therapy.

The infection resolved, the wound healed progressively, and major amputation was avoided. Limb function was successfully preserved through timely revascularization, meticulous surgical debridement, and effective pressure off-loading.

This case demonstrates that successful treatment of ischemic infected plantar ulcers requires a comprehensive limb-salvage strategy. Revascularization, meticulous surgical debridement, and appropriate pressure off-loading are equally essential for achieving durable wound healing and avoiding major amputation.

The wound healed progressively after revascularization and surgical debridement, avoiding major amputation and achieving durable limb preservation.

This case demonstrates that successful limb salvage in ischemic diabetic foot ulcers often depends on timely revascularization followed by meticulous surgical debridement. Restoring blood flow before surgery can transform a limb at high risk of amputation into a limb with healing potential.

Complete healing was achieved within 2.5 months without infection recurrence. The toe and all phalanges were successfully preserved, maintaining toe length, stability, and function.

This case demonstrates that even extensive infected gangrene does not always require phalangeal resection. Careful surgical assessment and meticulous debridement can preserve both the toe and every phalanx when bone viability is maintained.