Diabetes is becoming a veritable pandemic. Diabetic foot ulcers represent an ever-growing public health problem. Prevention is the only way to reduce the frequency of ulcers, amputations and the cost of diabetic foot disease.Their management can only be achieved within a multidisciplinary framework. Algeria will need to equip itself with appropriate structures, and in particular specialized centers with all the technical facilities needed to manage these ulcers. A guide to good medical practice should help to harmonize care across the country, so that patients benefit from better care.The role of the orthopedic surgeon is central, in order to reason in terms of biomechanics to avoid, after conservative or surgical treatment, the creation or persistence of zones of hyper-support, factors in the recurrence of ulcerations.