Skin Grafting in Diabetic Foot Ulcers

Skin grafting is advocated by many centers in Diabetic Foot Ulcers. However in my experience of more than 20 Years split skin grafting leads to contractures and recurrent ulceration in diabetic foot wounds, especially on the plantar surface. Because of this I do not advocate skin grafting in diabetic ulcers. However recently available skin substitutes may have a role to play in faster skin cover of such ulcers as well as having reduced incidence of contractures.

Large diabetic foot wound on both dorsum and plantar surfaces

Complete closure of the wound without skin grafting