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Diabetic Foot Ulcers

  • Andrew J. M. Boulton
  • Frank Bowling

The Wagner system describes the diabetic foot ulcer as a full thickness wound extending to tendons or deeper subcutaneous tissue but without bony involvement or osteomyelitis [1]. The university of Texas system refers to levels of ischemia [2] and infection while the SAD system [3] attends to size, area, depth, arteriopathy and any neuropathic involvement. The breadth of classification system in use reflects the complexity and range of signs/symptoms associated with diabetic foot ulceration, with a lower limb lost to amputation every 30 seconds [4]. Recent research has estimated that more than 50% of diabetic foot ulcers will recur within 3 years suggesting that the professionals involved in treatment are fighting a difficult battle especially when it is considered that the lifetime risk for developing such an ulcer is calculated to be in the region of 15–25% [5].

Keywords

Diabetic Peripheral Neuropathy Vacuum Assisted Closure Total Contact Cast Necrotic Wound Charcot Neuroarthropathy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Andrew J. M. Boulton
    • 1
  • Frank Bowling
    • 1
  1. 1.Universities of ManchesterMiamiUSA

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