Diabetic ulcers form mainly due to lack of sensation. It is often thought that a lack of circulation may be cause of problems, but a majority of ulcers are formed from increased pressure on a certain area of the foot. The key to ulcer care is to not delay treatment. With early care, the need for amputation and bone infection can be avoided leading to optimal healing.
Several advances in ulcer care have been developed in the past decade. These include the use of genetic skin to close wounds, the use of skin grafts to close wounds and the use of local skin and muscle flaps to close wounds. Dr. Wilkes specializes in all aspects of ulcer care and have expertise in all forms of ulcer treatment including specialized brace formation, casting technique, surgical wound closure and genetic skin graft use.