The pull-through technique: Surgical augmentation for debriding diabetic infections of the mid- and forefoot

Abstract

Aggressive, mechanical debridement is the preferred treatment for the management of chronic infected diabetic foot ulcers. The Pull-Through technique is a low-tech approach that does not require specialized equipment. What makes this approach attractive is that, combined with standard irrigation and debridement, this approach is low-cost, produces a smaller dorsal incision, allows for adequate debridement of the plantar wound, and may help debride biofilms present in the dorsum of the chronic plantar-based wound that could not be addressed by simply debriding the plantar wounds.