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Pioneers in this field recognized that thetype of flap required is dependent on size, contour, depth of the deformity, proximity ofthe deformity to the potential donor site, presences of necrosis and infection, and therequirement for a new blood supply as occurs in an irradiated bed. They are especially valuablefor patients having body weight problem and thoseexperiencing frequent episodes of hypoglycaemia.Upto 50% patients of type 2 DM initiallytreated with oral hypoglycaemics ultimately needinsulin.
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