Skip to main content

Skin Necrosis of Diabetic Foot and Its Management

  • 1590 Accesses

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.

Keywords

  • Free Flap
  • Peripheral Artery Disease
  • Skin Necrosis
  • Vascular Intervention
  • Negative Pressure Wound Therapy

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.

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-7091-1241-0_36
  • Chapter length: 7 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   99.00
Price excludes VAT (USA)
  • ISBN: 978-3-7091-1241-0
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   129.00
Price excludes VAT (USA)
Hardcover Book
USD   139.99
Price excludes VAT (USA)
Fig. 36.1
Fig. 36.2
Fig. 36.3
Fig. 36.4
Fig. 36.5
Fig. 36.6
Fig. 36.7
Fig. 36.8

References

  1. 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.

    CAS  CrossRef  PubMed  Google Scholar 

  2. 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.

    CAS  CrossRef  PubMed  Google Scholar 

  3. Attinger CE, Bulan EJ. Debridement. The key initial first step in wound healing. Foot Ankle Clin. 2001;6(4):627–60.

    CAS  CrossRef  PubMed  Google Scholar 

  4. 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.

    CAS  CrossRef  PubMed  Google Scholar 

  5. Berman SJ. Infections in patients with end-stage renal disease. An overview. Infect Dis Clin North Am. 2001;15(3):709–20, vii.

    CAS  CrossRef  PubMed  Google Scholar 

  6. 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.

    CrossRef  PubMed  Google Scholar 

  7. 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.

    CAS  PubMed  Google Scholar 

  8. Clemens MW, Attinger CE. Angiosomes and wound care in the diabetic foot. Foot Ankle Clin. 2010;15(3):439–64.

    CrossRef  PubMed  Google Scholar 

  9. Conte MS. Diabetic revascularization: endovascular versus open bypas--o we have the answer? Semin Vasc Surg. 2012;25(2):108–14.

    Google Scholar 

  10. Edwards J, Stapley S. Debridement of diabetic foot ulcers. Cochrane Database Syst Rev. 2010;(1): CD003556.

    Google Scholar 

  11. Faglia E. Characteristics of peripheral arterial disease and its relevance to the diabetic population. Int J Low Extrem Wounds. 2011;10(3):152–66.

    CrossRef  PubMed  Google Scholar 

  12. 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.

    CrossRef  PubMed  Google Scholar 

  13. Goss DE, de Trafford J, et al. Raised ankle/brachial pressure index in insulin-treated diabetic patients. Diabet Med. 1989;6(7):576–8.

    CAS  CrossRef  PubMed  Google Scholar 

  14. Got I. Transcutaneous oxygen pressure (TcPO2): advantages and limitations. Diabetes Metab. 1998;24(4):379–84.

    CAS  PubMed  Google Scholar 

  15. 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.

    CrossRef  PubMed  Google Scholar 

  16. 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.

    CrossRef  PubMed  Google Scholar 

  17. Hong JP. The use of supermicrosurgery in lower extremity reconstruction: the next step in evolution. Plast Reconstr Surg. 2009;123(1):230–5.

    CAS  CrossRef  PubMed  Google Scholar 

  18. 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.

    CrossRef  PubMed  Google Scholar 

  19. 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.

    CrossRef  PubMed  Google Scholar 

  20. Most RS, Sinnock P. The epidemiology of lower extremity amputations in diabetic individuals. Diabetes Care. 1983;6(1):87–91.

    CAS  CrossRef  PubMed  Google Scholar 

  21. 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.

    CrossRef  PubMed  Google Scholar 

  22. 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.

    CrossRef  PubMed  Google Scholar 

  23. 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.

    CAS  CrossRef  PubMed  Google Scholar 

  24. Reiber GE. The epidemiology of diabetic foot problems. Diabet Med. 1996;13 Suppl 1:S6–11.

    PubMed  Google Scholar 

  25. Reiber GE, Lipsky BA, et al. The burden of diabetic foot ulcers. Am J Surg. 1998;176(2A Suppl):5S–10.

    CAS  CrossRef  PubMed  Google Scholar 

  26. 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.

    CAS  CrossRef  PubMed  Google Scholar 

  27. Saar WE, Lee TH, et al. The economic burden of diabetic foot and ankle disorders. Foot Ankle Int. 2005;26(1):27–31.

    PubMed  Google Scholar 

  28. 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.

    CAS  CrossRef  PubMed  Google Scholar 

  29. 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.

    CAS  CrossRef  PubMed  Google Scholar 

  30. Singh N, Armstrong DG, et al. Preventing foot ulcers in patients with diabetes. JAMA. 2005;293(2):217–28.

    CAS  CrossRef  PubMed  Google Scholar 

  31. Strandness Jr DE, Priest RE, et al. Combined clinical and pathologic study of diabetic and nondiabetic peripheral arterial disease. Diabetes. 1964;13:366–72.

    CrossRef  PubMed  Google Scholar 

  32. Yue DK, McLennan S, et al. Effects of experimental diabetes, uremia, and malnutrition on wound healing. Diabetes. 1987;36(3):295–9.

    CAS  CrossRef  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joon Pio Hong MD, PhD, MMM .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2015 Springer-Verlag Wien

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-1241-0_36

  • Published:

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1240-3

  • Online ISBN: 978-3-7091-1241-0

  • eBook Packages: MedicineMedicine (R0)