[Surgical management of diabetic foot osteomyelitis].

SURGICAL MANAGEMENT OF DIABETIC FOOT OSTEOMYELITIS. painless due to diabetic neuropathy. Osteomyelitis is most often managed surgically after both clinico-radiological examination of the wound and treatment of an arteriopathy if present. Multiple conservative surgical techniques currently exist, depending on the infection's location, and aim to treat and prevent ulcer recurrence. These techniques are briefly described presently. Combined conservative surgery, appropriate antibiotherapy, and off-loading allow full healing in the majority of cases. Amputation should only be considered after failure of conservative treatment or in the presence of severe vascular lesions or untreatable arteriopathy.