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Surgical Management: Neuropathic Foot

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Limb Salvage of the Diabetic Foot

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Abstract

Diabetic neuropathy is estimated to affect at least half of all diabetics. When infection is not present, non-operative and operative interventions can keep patients with neuropathic feet safe from limb or life threatening developments. Preventative measures such as regular foot checks, accommodative inserts, and custom fitted shoe gear are all implemented. For uncomplicated, non-infected ulcers, in office wound debridements and offloading measures are undertaken. When wounds arise, NPWT, skin grafts, and skin flaps have proven to be effective modalities. Surgical management of the neuropathic foot is complex and should be guided by appropriate patient selection.

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Author information

Authors and Affiliations

  1. Department of Podiatric Surgery, Yale New Haven Hospital, New Haven, CT, USA

    Stephen F. Lazaroff & Michael I. Gazes

  2. Departments of Surgery, Anesthesia, and Orthopedics and Rehabilitation, Yale School of Medicine, Yale New Haven Hospital, New Haven, CT, USA

    Peter A. Blume

Authors
  1. Stephen F. Lazaroff
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  2. Michael I. Gazes
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  3. Peter A. Blume
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Corresponding author

Correspondence to Peter A. Blume .

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Editors and Affiliations

  1. King’s College Hospital, London, UK

    Michael E. Edmonds

  2. School of Medicine, Yale University, New Haven, CT, USA

    Bauer E. Sumpio

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Lazaroff, S.F., Gazes, M.I., Blume, P.A. (2019). Surgical Management: Neuropathic Foot. In: Edmonds, M., Sumpio, B. (eds) Limb Salvage of the Diabetic Foot. Springer, Cham. https://doi.org/10.1007/978-3-319-17918-6_8

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  • DOI: https://doi.org/10.1007/978-3-319-17918-6_8

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