Abstract：Objective To evaluate the clinical outcome of diabetic foot reconstruction with supermicrosurgery techniques.Methods Thirty-five cases of diabetic foot reconstruction using supermicrosurgery techniques between January 2015 and December 2016 were reviewed. The average age of patients was 52.4 years and average follow-up was 18.1 months. Preoperative Doppler examination and visual inspection during the debridement were conducted to choose the adequate recipient artery. Reconstruction was performed with perforator flaps using the supermicrosurgery approach. The clinical outcome was evaluated with the flap survival rate and limb salvage rate.Results Among the 35 cases, there were five cases of flap loss, so the flap survival rate was 85.7 percent. Among the five cases of flap loss, two patients achieved secondary healing after debridement and skin grafting, and the rest were eventually amputated and the overall limb salvage rate was 91.4 percent. The SAS score and SDS score of all the patients decreased significantly after operation, while the BI index increased significantly (P<0.05).Conclusions Compared with classic skin flap surgery, the supermicrosurgery approach to diabetic foot wound repair is effective. The area damage is smaller and the recovery is faster. The key to this technique is to select appropriate receptor vessels
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