Amit Jain’s Destructive Ladder in Diabetic Foot-akin and Antonymous to Reconstructive Ladder

Diabetes is one of the most common non-infectious diseases seen worldwide. Its incidence is rising at an alarming rate and so are its complications. Foot problems in diabetic patients are common in practice and they are frequent cause of hospitalization. Managing diabetic foot is expensive. Diabetic foot ulcers are prone for infections and they can result in amputation which can render the patient disabled. There are distinct varieties of amputation in lower limb and they can be divided into minor amputations and major amputations. Minor amputations are performed for limb salvage and they allow patient to ambulate on their own. The purpose of this article is to highlight on 2 teaching models namely the reconstructive ladder-a traditional teaching model in wound reconstructive surgery field and the destructive ladder-a newly proposed teaching model by the author for amputation.