Case study · Ischaemic diabetic foot with forefoot gangrene
Forefoot gangrene with PAD: revascularisation and NPWT
A severe ischaemic diabetic foot with complete forefoot gangrene, peripheral arterial disease and a post-surgical wound infection.

01
Presentation
02
Clinical care
03
Follow-up
Clinical context
Presentation and assessment.
71-year-old male. The patient underwent angioplasty to restore perfusion and a midfoot amputation before developing an infected post-surgical wound.
Care pathway documented in this case
- Repeat wound debridement
- Negative Pressure Wound Therapy (NPWT)
- Bioactive dressing support
Outcome & follow-up
Progress is recorded with context.
The presentation documents complete wound healing in three months with infection control and limb salvage despite severe ischaemia.
This is a consent-led clinical record. Individual treatment pathways and outcomes vary for every patient.
A qualified clinician must assess an individual wound, circulation, sensation and infection risk before recommending care.
Clinical image record
The documented care journey.
Images are shown as part of the clinical record and should be viewed with respect for patient privacy and context.







A considered next step
Every case needs its own assessment and plan.
This record illustrates one patient journey. Speak with the MMC team to understand what assessment and care may be appropriate for your situation.
