Table 5.

Consensus statements on general strategies and principles relevant to the surgical management of diabetic forefoot osteomyelitis

Item	Statement	Mean rating
D-1	Multidisciplinary or interdisciplinary team–based management improves DFO treatment outcomes and reduces the risk of major (above-ankle) amputation.	8.64
D-2	Establishing a biomechanically stable foot is of critical importance to wound healing, resolution of forefoot osteomyelitis, and reducing the risk of reulceration.	8.50
D-3	There is no well-established or widely accepted standard definition of treatment success or failure following surgery for diabetic forefoot osteomyelitis.	7.43
D-4	There are no widely accepted guidelines for monitoring postoperative treatment response following surgery for diabetic forefoot osteomyelitis.	7.21
D-5	Inadequate extent of bone resection (i.e. inadequate margins) is one of the most important reasons for treatment failure/persistent DFO.	7.00
D-6	Assuming adequate arterial perfusion and no orthopedic/podiatric hardware, the proportion of patients eventually requiring major (above-ankle) amputation for forefoot DFO should be <10%.	7.00

DFO, diabetic foot osteomyelitis.