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Diabetic Foot Management

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Pearls and Pitfalls in Skin Ulcer Management

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Abstract

Diabetic foot ulcers (DFU) occur in one-third of individuals with diabetes during their lifetime and represent the main cause of non-traumatic lower extremity amputation (LEA). Diabetes-related complications of the lower limbs are associated with increased mortality and disability, with severe personal and social consequences. The pathogenesis of DFU is complex, involving both microvascular and macrovascular diabetes-related damages, tendon and fascial alterations, and immune system impairment. Thus, a multidisciplinary team is required to address this multifaceted disease by providing optimal pressure offloading and wound bed preparation, restoring perfusion, eradicating infection, improving and maintaining glycemic control. Continuous education of patients and their family during timely follow-up visits is key to prevent DFU and curb the high DFU recurrence rate.

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Authors and Affiliations

  1. Department of Precision and Regenerative Medicine and Ionian Area, Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, University of Bari Aldo Moro, Bari, Italy

    Irene Caruso, Anna Leonardini, Francesca Guarini, Mattia Bernardis, Luca Cellamare, Ilaria Immacolata Matichecchia, Rebecca Annicchiarico, Aurelia Bellomo Damato, Luigi Laviola & Francesco Giorgino

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  1. Irene Caruso
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  2. Anna Leonardini
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  3. Francesca Guarini
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Correspondence to Francesco Giorgino .

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Editors and Affiliations

  1. Unit of Plastic and Reconstructive Surgery, Department of Precision and Regenerative Medicine and Jonic Area, University of Bari, Bari, Italy

    Michele Maruccia

  2. Plastic Surgery Unit, University of Trieste, Cattinara Hospital, Trieste, Italy

    Giovanni Papa

  3. Difficult Wound Healing Unit, Policlinico di Monza, Vercelli, Italy, Italy

    Elia Ricci

  4. Plastic and Reconstructive Surgery, University of Bari Aldo Moro, Bari, Italy

    Giuseppe Giudice

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Caruso, I. et al. (2023). Diabetic Foot Management. In: Maruccia, M., Papa, G., Ricci, E., Giudice, G. (eds) Pearls and Pitfalls in Skin Ulcer Management. Springer, Cham. https://doi.org/10.1007/978-3-031-45453-0_48

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