Abstract
The chapter describes the statistics related to diabetic foot ulceration, pathology of necrosis formation, types of necrosis, and the current surgical management of diabetic foot skin necrosis.
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References
Apelqvist J, Ragnarson-Tennvall G, et al. Long-term costs for foot ulcers in diabetic patients in a multidisciplinary setting. Foot Ankle Int. 1995;16(7):388–94.
Attinger C, Cooper P, et al. The safest surgical incisions and amputations applying the angiosome principles and using the Doppler to assess the arterial-arterial connections of the foot and ankle. Foot Ankle Clin. 2001;6(4):745–99.
Attinger CE, Bulan EJ. Debridement. The key initial first step in wound healing. Foot Ankle Clin. 2001;6(4):627–60.
Badia JM, Torres JM, et al. Saline wound irrigation reduces the postoperative infection rate in guinea pigs. J Surg Res. 1996;63(2):457–9.
Berman SJ. Infections in patients with end-stage renal disease. An overview. Infect Dis Clin North Am. 2001;15(3):709–20, vii.
Bush Jr HL, Nabseth DC, et al. In situ saphenous vein bypass grafts for limb salvage. A current fad or a viable alternative to reversed vein bypass grafts? Am J Surg. 1985;149(4):477–80.
Christensen KS, Klarke M. Transcutaneous oxygen measurement in peripheral occlusive disease. An indicator of wound healing in leg amputation. J Bone Joint Surg Br. 1986;68(3):423–6.
Clemens MW, Attinger CE. Angiosomes and wound care in the diabetic foot. Foot Ankle Clin. 2010;15(3):439–64.
Conte MS. Diabetic revascularization: endovascular versus open bypas--o we have the answer? Semin Vasc Surg. 2012;25(2):108–14.
Edwards J, Stapley S. Debridement of diabetic foot ulcers. Cochrane Database Syst Rev. 2010;(1): CD003556.
Faglia E. Characteristics of peripheral arterial disease and its relevance to the diabetic population. Int J Low Extrem Wounds. 2011;10(3):152–66.
Frykberg RG, Zgonis T, et al. Diabetic foot disorders. A clinical practice guideline (2006 revision). J Foot Ankle Surg. 2006;45(5 Suppl):S1–66.
Goss DE, de Trafford J, et al. Raised ankle/brachial pressure index in insulin-treated diabetic patients. Diabet Med. 1989;6(7):576–8.
Got I. Transcutaneous oxygen pressure (TcPO2): advantages and limitations. Diabetes Metab. 1998;24(4):379–84.
Granick M, Boykin J, et al. Toward a common language: surgical wound bed preparation and debridement. Wound Repair Regen. 2006;14 Suppl 1:S1–10.
Granick MS, Posnett J, et al. Efficacy and cost-effectiveness of a high-powered parallel waterjet for wound debridement. Wound Repair Regen. 2006;14(4):394–7.
Hong JP. The use of supermicrosurgery in lower extremity reconstruction: the next step in evolution. Plast Reconstr Surg. 2009;123(1):230–5.
Kim JY, Lee YJ. A study of the survival factors of free flap in older diabetic patients. J Reconstr Microsurg. 2007;23(7):373–80.
Lipsky BA. A report from the international consensus on diagnosing and treating the infected diabetic foot. Diabetes Metab Res Rev. 2004;20 Suppl 1:S68–77.
Most RS, Sinnock P. The epidemiology of lower extremity amputations in diabetic individuals. Diabetes Care. 1983;6(1):87–91.
Moulik PK, Mtonga R, et al. Amputation and mortality in new-onset diabetic foot ulcers stratified by etiology. Diabetes Care. 2003;26(2):491–4.
Oh TS, Lee HS, et al. Diabetic foot reconstruction using free flaps increases 5-year-survival rate. J Plast Reconstr Aesthet Surg. 2013;66(2):243–50.
Randon C, Jacobs B, et al. A 15-year experience with combined vascular reconstruction and free flap transfer for limb-salvage. Eur J Vasc Endovasc Surg. 2009;38(3):338–45.
Reiber GE. The epidemiology of diabetic foot problems. Diabet Med. 1996;13 Suppl 1:S6–11.
Reiber GE, Lipsky BA, et al. The burden of diabetic foot ulcers. Am J Surg. 1998;176(2A Suppl):5S–10.
Reiber GE, Vileikyte L, et al. Causal pathways for incident lower-extremity ulcers in patients with diabetes from two settings. Diabetes Care. 1999;22(1):157–62.
Saar WE, Lee TH, et al. The economic burden of diabetic foot and ankle disorders. Foot Ankle Int. 2005;26(1):27–31.
Sheehan P, Jones P, et al. Percent change in wound area of diabetic foot ulcers over a 4-week period is a robust predictor of complete healing in a 12-week prospective trial. Plast Reconstr Surg. 2006;117(7 Suppl):239S–44.
Shenaq SM, Dinh TA. Foot salvage in arteriolosclerotic and diabetic patients by free flaps after vascular bypass: report of two cases. Microsurgery. 1989;10(4):310–4.
Singh N, Armstrong DG, et al. Preventing foot ulcers in patients with diabetes. JAMA. 2005;293(2):217–28.
Strandness Jr DE, Priest RE, et al. Combined clinical and pathologic study of diabetic and nondiabetic peripheral arterial disease. Diabetes. 1964;13:366–72.
Yue DK, McLennan S, et al. Effects of experimental diabetes, uremia, and malnutrition on wound healing. Diabetes. 1987;36(3):295–9.
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Hong, J.P. (2015). Skin Necrosis of Diabetic Foot and Its Management. In: Téot, L., Meaume, S., Akita, S., Ennis, W.J., del Marmol, V. (eds) Skin Necrosis. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1241-0_36
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DOI: https://doi.org/10.1007/978-3-7091-1241-0_36
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