Plastic surgical repair of ulcer wounds of diabetic foot patients through systemic treatment and local infection control

Background: This study was to investigate the efficacy of plastic surgery in patients with diabetic foot (DF) ulcer who had systemic treatment and local infection control. Methods: A total of 112 patients with DF were randomly divided into surgery group and drug treatment group according to treatment methods. Firstly, the pathogenic bacteria were isolated and cultured to explore the specific factors causing glycosuria foot ulcer. Secondly, the wound recovery and average hospitalization of the patients were analyzed, and the effects of different treatment methods on the clinical cure rate and recovery rate of the patients were compared. Results: The results showed that 53 patients were diagnosed with type 2 DF, accounting for 47.32%; 22 patients were diagnosed with DF disease complicated by infections, accounting for 19.64%; 25 patients were diagnosed with DF complicated by ulcers, accounting for 22.32%; and 12 patients (10.71%) were diagnosed with DF complicated by ulcer infection. Of the pathogens cultured, Enterococcus faecalis accounted for the highest proportion (19.35%). Statistical analysis was conducted on Wagner grading. It was found that with the increase of the grade, the wound recovery time of patients gradually increased, with the longest recovery time for grade V and the shortest recovery time for grade I. Additionally, with the extension of hospital stay, the area of the ulcer wound gradually decreased. In the analysis of induced factors, there were 17 cases of nail cutting, accounting for 15.18%. Conclusions: The operation of repairing DF ulcer wound under the guidance of plastic surgery principle had good efficacy, safety, and reliability, and was worthy of clinical promotion.