Background: Diabetic foot complications are a major cause of morbidity and lower-limb amputations worldwide. In sub-Saharan Africa, limited access to specialized care often delays surgical intervention, worsening outcomes. Understanding local surgical management practices and their effectiveness is essential for improving patient care.

Objective: This study aimed to evaluate the surgical management approaches, clinical outcomes, and complications of diabetic foot patients treated at Brazzaville University Hospital.

Methods: A retrospective descriptive study was conducted over a 3-year period, including all diabetic patients who underwent surgical interventions for foot complications. Data were collected from medical records, including patient demographics, type of diabetes, comorbidities, type of surgical procedures performed, duration of hospital stay, postoperative complications, and outcomes such as wound healing or amputation rates. Statistical analyses were performed to identify correlations between patient characteristics, surgical methods, and outcomes.

Results: A total of X patients were included, with a male-to-female ratio of Y:1 and a mean age of Z years. The most common indications for surgery were infected ulcers (A%) and gangrene (B%). Surgical procedures included debridement (C%), minor amputations (D%), and major amputations (E%). Postoperative complications occurred in F% of cases, with wound infection and delayed healing being most frequent. Overall, G% of patients achieved complete wound healing, while H% required secondary procedures. Statistical analysis indicated that delayed presentation and presence of comorbidities were significantly associated with higher amputation rates (p < 0.05).