What type of procedures are involved when treating diabetic foot ulcers?

Could you go through the types of procedures that you would do for diabetic foot ulcers? Yeah, so actually, there is a whole diabetic foot multidisciplinary team, and it's a bunch of people including an endocrinologist, that's a doctor who looks at diabetes, a foot and ankle surgeon, a vascular surgeon, that's me, a podiatrist, who's a bit like a foot GP, and then we've got certain other specialists like radiologists, interventional radiologists, to help us look at and interpret scans and perform procedures. So essentially the kind kind of procedures that we can do are the sort of, if we can say the sort of architectural procedures, which is kind of to do with tendons and bones, the plumbing, which is vascular. And there are there are other procedures as well. So the sort of architectural procedures, things like correcting deformities with tendon releases. So that could be, for example, if the foot is abnormally pointed, we can sometimes do an Achilles tendon release in the clinic, really simple procedure to straighten out that deformity and protect the foot. Same with toes, if the toes are all clawed, we can do a simple flexor tendon release in clinic under local anaesthetic, relieve some of the pressure points. Sometimes people come in with wounds and we may need to either take a sample of the wound, a biopsy, or clean that wound, that's a debridement. And then the more complex sort of architectural procedures are correcting drop foot arches, particularly in a condition that diabetics have called Sharpe Co foot disease. And that involves, you know, insertion of metal work into the foot to give it its normal angles and structure back. And so a lot of that is done by my colleagues. The kind of work that I do specifically is to do with advanced limb salvage. And so what we're looking at is restoring blood flow. And typically the kind of procedures I do are dealing with multi-level arterial blockages. And that involves procedures to clean out arteries, to stent and balloon arteries open and to bypass blocked arteries. The other job that I'm really involved in is dealing with foot infections and covering wounds. And the kind of procedures that we do there are things like drilling bones, inserting antibiotics, cement into bones for bone infection, and then covering wounds with things like skin grafts from the patient or from donors sometimes.