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Management of the diabetic foot

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Critical Limb Ischemia
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Abstract

Diabetes mellitus affects about 2–5% of the general population and nearly 50% of the affected population is unaware of the presence of the illness [14,24]. The most important complication is the development of ulcers/gangrene of the foot. This occurs in about 10% of all elderly diabetic patients [12]. The ageadjusted rate of lower limb amputations is approximately 10–15 times that of patients without diabetes [19]. A perioperative mortality rate as high as 25% and a poor survival after amputation, with only 50% alive after 3 years indicates that the management of these patients is an enormous health care problem [3].

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References

  1. Assal J-Ph, Gfeller R, Ehoe J-M (1981) Patient education in diabetes. In: Bostrum H, Ljungstedt N (eds) Recent Trends in Diabetes Research. Almqvist Wiksell International, pp 276–290

    Google Scholar 

  2. Berardi RS, Keonin Y (1978) Amputations in peripheral vascular occlusive disease. Am J Surg 135: 231–234

    Article  PubMed  CAS  Google Scholar 

  3. Bild DE, Selby JV, Sinnock P, Browner WS, Braveman P, Schowstack JA (1989) Lower-extremity amputation in people with diabetes mellitus. Epidemiology and prevention. Diabetes Care 12: 24–31

    Google Scholar 

  4. Colwell JA, Lopes-Virella MF (1988) A review of the development of large-vessel disease in diabetes mellitus. Am J Med 85 (Suppl): 113–118

    Article  PubMed  CAS  Google Scholar 

  5. Edmonds ME, Roberts VC, Watkins PJ (1982) Blood flow in the diabetic neuropathic foot. Diabetologia 22: 9–15

    Article  PubMed  CAS  Google Scholar 

  6. Edmonds ME (1985) The diabetic foot. Medical International 13: 551–553

    Google Scholar 

  7. Edmonds ME (1986) The diabetic foot: pathophysiology and treatment. Clin Endocrinol Metab 15: 899–916

    Article  Google Scholar 

  8. Edmonds ME (1986) The neuropathic foot in diabetes. Part I: Blood flow. Diabetic Medicine 3: 111–115

    Article  PubMed  CAS  Google Scholar 

  9. Edmonds ME, Blundell MP, Morris HE (1986) Improved survival of the diabetic foot: the role of a special foot clinic. Q J Med 232: 763–771

    Google Scholar 

  10. Fierer J, Daniel D, Davis C (1979) The fetid foot: lower extremity infections in patients with diabetes mellitus. Rev Infect Dis 1: 210–217

    Article  PubMed  CAS  Google Scholar 

  11. Finegold SM, Sutter VL (1983) Anaerobic Infections. Kalamazoo, Upjohn, pp 47–54

    Google Scholar 

  12. Gutman M, Kaplan O, Skornick Y, Klausner JM, Lelcuk S, Rozin RR (1987) Gangrene of the lower limbs in diabetic patients: a malignant complication. Am J Surg 154: 305–308

    Article  PubMed  CAS  Google Scholar 

  13. Guy RJC, Clark CA, Malcolm PM, Watkins PJ (1985) Evaluation of thermal and vibration sensation in diabetic neuropathy. Diabetologia 28: 131–137

    PubMed  CAS  Google Scholar 

  14. Krone W, Müller-Wieland D (1990) Special Problems of the Diabetic Patients. In: Dormandy J, Stock G, Critical Log Ischaemia. Its Pathophysiology and Management. Springer, Berlin Heidelberg, pp 145–157

    Google Scholar 

  15. Levin ME, The diabetic foot: pathophysiology, evaluation, and treatment. In: Levin WM, O’Neal LW (eds) The Diabetic Foot. 4th ed. St. Louis, MO, Mosby, pp 1–50

    Google Scholar 

  16. Lippmann HI (1979) Must loss of limb be a consequence of diabetes mellitus? Diabetes Care 2: 432–436

    Google Scholar 

  17. Louie TJ, Arlett JG, Tally FP (1976) Aerobic and anaerobic bacteria in diabetic foot ulcers. Ann Intern Med 85: 461–463

    PubMed  CAS  Google Scholar 

  18. Malone JM, Snyder M, Anderson GG, Bernhard VM, Holloway GA, Bunt TJ (1989) Prevention of amputation by diabetic education. Am J Surg 158: 520–524

    Article  PubMed  CAS  Google Scholar 

  19. Most RS, Sinnock P (1983) The epidemiology of lower extremity amputations in diabetic individuals. Diabetes Care 6: 87–91

    Article  PubMed  CAS  Google Scholar 

  20. Müller MJ, Diamond JE, Sinacore DR, Delitto A, Blair III VP, Drury DA, Rose SJ (1989) Total contact casting in treatment of diabetic plantar ulcers. Controlled clinical trial. Diabetes Care 12: 384–388

    Google Scholar 

  21. Pirart J (1978) Diabetes mellitus and its degenerative complications: a prospective study of 4400 patients observed between 1947 and 1973. Diabetes Care 1: 168–188

    Google Scholar 

  22. Prabhakar P, Rao AB, Hira J (1981) Bacteriological study of diabetic foot ulcers. Trop Geogr Med 33: 249–252

    PubMed  CAS  Google Scholar 

  23. Roon AJ, Moore WS, Goldstone J (1977) Below-knee amputation: A modern approach. Am J Surg 134: 153–158

    Google Scholar 

  24. Ross H, Rifkin H (1987) Diabetes Mellitus: An Overview. In: Brenner MA (ed) Management of the Diabetic Foot. Williams & Wilkins, Baltimore, pp 3–7

    Google Scholar 

  25. Said B, Glama G, Selva J (1983) Progressive centripetal degeneration of axons in small fibre type diabetic polyneuropathy. A clinical and pathological study. Brain 108: 791–807

    Google Scholar 

  26. Sapico FL, Canawati HN, Witte JL, Montgomerie JZ, Wagner FW Jr, Bessman AN (1980) Quantitative aerobic and anaerobic bacteriology of infected diabetic feet. J Clin Microbiol 12: 413–420

    PubMed  CAS  Google Scholar 

  27. Scarpello JH, Martin TR, Ward JD (1980) Ultrasound measurements of pulse wave velocity in the peripheral arteries of diabetic subjects. Clin Sci 58: 53–57

    PubMed  CAS  Google Scholar 

  28. Somerville DA, Lancaster-Smith M (1973) The aerobic cutaneous microflora of diabetic subjects. Br J Dermatol 89: 395–400

    Article  PubMed  CAS  Google Scholar 

  29. Whitehouse FW, Jurgensen C, Block MA (1968) The later life of the diabetic amputee. Another look at fate of the second leg. Diabetes 17: 520–521

    Google Scholar 

  30. Zlathin MB, Pathrin M, Sartoris DJ, Resmick D (1987) The diabetic foot. Radiol Clin North Am 25: 1095–1105

    Google Scholar 

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© 1995 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt

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Claeys, L. (1995). Management of the diabetic foot. In: Horsch, S., Claeys, L. (eds) Critical Limb Ischemia. Steinkopff. https://doi.org/10.1007/978-3-642-72515-9_30

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  • DOI: https://doi.org/10.1007/978-3-642-72515-9_30

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-0968-9

  • Online ISBN: 978-3-642-72515-9

  • eBook Packages: Springer Book Archive

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