Treating the diabetic ulcer: Practical approach and general concepts

Israel Medical Association Journal

Volumn 9, Issue 8, 2007, Pages 610-615

  Tamir, Eran ^a,b  

^a SHEBA MEDICAL CENTER   (Israel)

^b NONE   (Israel)

Author keywords

Diabetic foot; Off loading; Prevention; Surgical treatment; Ulceration

Indexed keywords

ANTIBIOTIC AGENT;

BED REST; BLOOD OXYGENATION; COMORBIDITY; DEBRIDEMENT; DIABETES EDUCATION; DIABETIC FOOT; DISEASE CLASSIFICATION; FOOT AMPUTATION; FOOT EDEMA; FOOT MALFORMATION; FOOT ORTHOSIS; FOOT SURGERY; GLYCEMIC CONTROL; HUMAN; IMMOBILIZATION; MOTOR NEUROPATHY; PERIPHERAL VASCULAR DISEASE; PLASTIC SURGERY; REVIEW; RISK FACTOR; SENSORY NEUROPATHY; SHOE; SKIN INFECTION; SYMPTOMATOLOGY; WOUND ASSESSMENT; WOUND CARE; WOUND CLOSURE; WOUND HEALING;

ABSCESS; ARTHROPATHY, NEUROGENIC; COMORBIDITY; DEBRIDEMENT; DIABETIC FOOT; DIABETIC NEUROPATHIES; DRAINAGE; HUMANS; PATIENT CARE TEAM; SOFT TISSUE INFECTIONS; WEIGHT-BEARING;

EID: 34548250848     PISSN: 15651088     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (32)

1. Brodsky JW. The diabetic foot. In: Mann RA, Coughlin MJ, eds. Surgery of the Foot and Ankle. 6th edn. St. Louis, MO: Mosby 1993:877-958.
2. Mayfield JA, Reiber GE, Sanders LJ, Janisse D. Pogach LM. Preventive foot care in people with diabetes. Diabetes Care 1998;21:2161-77.
3. Palumbo PJ, Melton LJ III. Peripheral vascular disease and diabetes. In: Diabetes in America: Diabetes data compiled 1984. Washington, DC: Government Printing Office, August 1985:XV-1-XV-21. (NIH publication no. 85-1468)
4. Consensus Development Conference on Diabet Foot Wound Care: 7-8 April 1999, Boston, MA. Diabetes Care 1999;22:1354-60.
5. Reiber GE, Vileikyte L, Boyko EJ, et al. Causal pathways for incident lower-extremity ulcers in patients with diabetes from two settings. Diabetes Care 1999;22:157-62.
6. Most RS, Sinnock P. The epidemiology of lower extremity amputations in diabetic individuals. Diabetes Care 1983;6:87-91.
7. Aksoy DY, Gurlek A, Cetinkaya Y. et al. Change in the amputation profile in diabetic foot in a tertiary reference center: efficacy of team working. Exp Clin Endocrinol Diabetes 2004;112:526-30.
8. Strauss MB. The orthopedic surgeon's role in the treatment and prevention of diabetic foot wounds. Foot Ankle Int 2005;26:5-14.
9. Falanga V. Wound healing and its impairment in the diabetic foot [Review]. Lancet 2005;366:1736-43.
10. Armstrong DG, Lavery LA, Harkless LB. Validation of a diabetic wound classification system. The contribution of depth infection and ischemia to risk of amputation. Diabetes Care 1998;21:855-9.
11. McMurry JF Jr. Wound healing with diabetes mellitus. Better glucose control for better healing with in diabetes. Surg Clin North Am 1984;64:769-78.
12. Myerson MS, Henderson MR, Saxby T, Short KW. Management of midfoot diabetic neuroarthropathy. Foot Ankle Int 1994;15:233-41.
13. Lepantalo M, Biancary F, Tukiainen E. Never amputate without consultation of a vascular surgeon [Review]. Diabetes Metab Res Rev 2000;16(Suppl 1):S27-32.
14. Sumpio BE, Lee T, Blume PA. Vascular evaluation and arterial reconstruction of the diabetic foot [Review]. Clin Podiatr Med Surg 2003;20:689-708.
15. Slater RA, Lazarovitch T, Boldur I, et al. Swab cultures accurately identify bacterial Pathogens in diabetic foot wounds not involving bone. Diabet Med 2004;21:705-9.
16. Jude EB, Unsworth PF. Optimal treatment of infected diabetic foot ulcers [Review]. Drugs Aging 2004;21:833-50.
17. Saltzman CL, Rashid R, Hayes A, et al. 4.5-gram monofilament sensation beneath both first metatarsal heads indicates protective foot sensation in diabetic patients. J Bone Joint Surg Am 2004;86-A: 717-23.
18. Cavanagh PR, Ulbrecht JS, Caputo GM. Biomechanical aspects of diabetic foot disease: aetiology, treatment, and prevention. Diabet Med 1996;13(Suppl 1):17-22.
19. Armstrong DG, Nguyen HC, Lavery LA, van Schie CH, Boulton AJ, Harkless LB. Off-loading the diabetic foot wound: a randomized clinical trial. Diabetes Care 2001:24:1019-22.
20. Myerson M, Papa J, Eaton K, Wilson K. The total contact cast for management of neuropathic ulceration of the foot. J Bone Joint Surg Am 1992;74:261-9.
21. Guyton GP. An analysis of iatrogenic complications from the total contact cast. Foot Ankle Int 2005;26:903-7.
22. Hartsell HD, Fellner C, Saltzman CL. Pneumatic bracing and total contact casting have equivocal effects on plantar pressure relief. Foot Ankle Int 2001;22:502-6.
23. Mueller MJ, Sinacore DR, Hastings MK, Strube MJ, Johnson JE. Effect of Achilles tendon lengthening on neuropathic plantar ulcers. A randomized clinical trial. J Bone Joint Surg Am 2003;85-A: 1436-45.
24. Early JS, Hansen ST. Surgical reconstruction of the diabetic foot: a salvage approach for midfoot collapse. Foot Ankle Int 1996;17:325-30.
25. Bono JV, Roger DJ, Jacobs RL. Surgical arthrodesis of the neuropathic foot. A salvage procedure. Clin Orthop Relat Res 1993;296:14-20.
26. Schon LC, Marks RM. The management of neuroarthropathic fracture-dislocations in the diabetic patient. Orthop Clin North Am 1995;26:375-92.
27. Ozkan O, Coskunfirat OK, Ozgentas HE. Reliability of free-flap coverage in diabetic foot ulcers. Microsurgery 2005;25:107-12.
28. Gavrailov M, Petkov R, Gavrailov N, et al. Surgical treatment of creeping infections of the flexor foot tendons in diabetic patients. Khirurgiia (Sofiia) 2004;60:49-51.
29. Strauss MB. Hyperbaric oxygen as an intervention for managing wound hypoxia: its role and usefulness in diabetic foot wounds. Foot Ankle Int 2005;26:15-18.
30. Armstrong DG, Lavery LA. Negative pressure wound therapy after partial diabetic foot amputation: a multicentre, randomised controlled trial. Lancet 2005;366:1704-10.
31. Uccioli L, Faglia E, Monticone G, et al. Manufactured shoes in the prevention of diabetic foot ulcers. Diabetes Care 1995;18:1376-8.
32. Pinzur MS, Slovenkai MP, Trepman E, Shields NN. Guidelines for diabetic foot care: recommendations endorsed by the Diabetes Committee of the American Orthopedic Foot and Ankle Society. Foot Ankle Int 2005;26:113-19.