Surgery or not?

Need advice from the Pod surgeons please. Have just consulted a 64 yr old male, T2DM (12 yr onset, fluctuant control – last HbA1c 8mmol/L), 120kg’s, 6.4ft tall. Presents with chronic painful feet

Need advice from the Pod surgeons please. Have just consulted a 64 yr old male, T2DM (12 yr onset, fluctuant control – last HbA1c 8mmol/L), 120kg’s, 6.4ft tall. Presents with chronic painful feet

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Surgery or not?