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The Diabetic Foot

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Abstract

Patients with diabetic foot may present as an emergency with sepsis (with or without ischaemia); they may also present with tissue loss.

Keywords

  • Autonomic Neuropathy
  • Surgical Debridement
  • Limb Salvage Rate
  • Lower Limb Ischaemia
  • Lumbricalis Muscle

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.

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References

  1. Lam D, LeRoith D. The worldwide diabetes epidemic. Curr Opin Endocrinol Diabetes Obes. 2012;19:93–6.

    CrossRef  PubMed  Google Scholar 

  2. Eser Sanverdi F, Ergen B, Oznur A. Current challenges in imaging of the diabetic foot. Diabet Foot Ankle. 2012;3:18754.

    Google Scholar 

  3. Loredo R, Rahal A, Garcia G, Metter D. Imaging of the diabetic foot diagnostic dilemmas. Foot Ankle Spec. 2010;3:249–64.

    CrossRef  PubMed  Google Scholar 

  4. Schweitzer ME, Daffner RH, Weissman BN, Bennett DL, Blebea JS, Jacobson JA, et al. ACR appropriateness criteria on suspected osteomyelitis in patients with diabetes mellitus. J Am Coll Radiol. 2008;5:881–6.

    CrossRef  PubMed  Google Scholar 

  5. Rozzanigo U, Tagliani A, Vittorini E, Pacchioni R, Brivio LR, Caudana R. Role of magnetic resonance imaging in the evaluation of diabetic foot with suspected osteomyelitis. Radiol Med. 2009;114:121–32.

    CAS  CrossRef  PubMed  Google Scholar 

  6. Lipsky BA, Berendt AR, Deery HG, Embil JM, Joseph WS, Karchmer AW, Infectious Diseases Society of America, et al. Diagnosis and treatment of diabetic foot infections. Clin Infect Dis. 2004;39:885–910.

    CrossRef  PubMed  Google Scholar 

  7. Perry CR, Pearson RL, Miller GA. Accuracy of cultures of material from swabbing of the superficial aspect of the wound and needle biopsy in the preoperative assessment of osteomyelitis. J Bone Joint Surg. 1991;73-A:745–9.

    Google Scholar 

  8. Lipsky BA, Baker PD, Landon GC, Fernau R. Antibiotic therapy for diabetic foot infections: comparison of two parenteral- to-oral regimens. Clin Infect Dis. 1997;24:643–8.

    CAS  CrossRef  PubMed  Google Scholar 

  9. Neil JA, Munro CL. A comparison of two culturing methods for chronic wounds. Ostomy Wound Manag. 1997;43:20–30.

    CAS  Google Scholar 

  10. Bill TJ, Ratliff CR, Donovan AM, Knox LK, Morgan RF, Rodeheaver GT. Quantitative swab culture versus tissue biopsy: a comparison in chronic wounds. Ostomy Wound Manag. 2001;47:34–7.

    CAS  Google Scholar 

  11. Lavery LA, La Fontaine J, Bhavan K, Kim PJ, et al. Risk factors for methicillin-resistant Staphylococcus aureus in diabetic foot infections. Diabet Foot Ankle. 2014;5:23575.

    CrossRef  Google Scholar 

  12. Steed DL, Donohoe D, Webster MW, Lindsley L. Effect of extensive debridement and treatment on the healing of diabetic foot ulcers. Diabetic Ulcer Study Group. J Am Coll Surg. 1996;183:61–4.

    CAS  PubMed  Google Scholar 

  13. Attinger CE, Bulan E, Blume PA. Surgical debridement. The key to successful wound healing and reconstruction. Clin Podiatr Med Surg. 2000;17:599–630.

    CAS  PubMed  Google Scholar 

  14. Chang BB, Darling 3rd RC, Paty PS, Lloyd WE, Shah DM, Leather RP. Expeditious management of ischemic invasive foot infections. Cardiovasc Surg. 1996;4:792–5.

    CAS  CrossRef  PubMed  Google Scholar 

  15. Armstrong DG, Lavery LA, Diabetic Foot Study Consortium. Negative pressure wound therapy after partial diabetic foot amputation: a multicenter, randomized controlled trial. Lancet. 2005;366:1704–10.

    CrossRef  PubMed  Google Scholar 

  16. Ramanujam CL, Stapleton JJ, Zgonis T. Negative-pressure wound therapy in the management of diabetic Charcot foot and ankle wounds. Diabet Foot Ankle. 2013;4:20878.

    CrossRef  Google Scholar 

  17. Schaper NC, Apelqvist J, Bakker K. The international consensus and practical guidelines on the management and prevention of the diabetic foot. Curr Diab Rep. 2003;3:475–9.

    CrossRef  PubMed  Google Scholar 

  18. Blevins WA, Schneider PA. Endovascular management of critical limb ischemia. Eur J Vasc Endovasc Surg. 2010;39:756–61.

    CrossRef  PubMed  Google Scholar 

  19. Setacci C, de Donato G, Teraa M, Moll FL, Ricco JB, Becker F, Robert-Ebadi H, Cao P, Eckstein HH, De Rango P, Diehm N, Schmidli J, Dick F, Davies AH, Lepäntalo M, Apelqvist J. Chapter IV: treatment of critical limb ischaemia. Eur J Vasc Endovasc Surg. 2011;42 Suppl 2:S43–59 [Review].

    CrossRef  PubMed  Google Scholar 

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Correspondence to Magdy Moawad MB BCh, MSc, FRCS Ed, FRCS .

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© 2016 Springer India

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Moawad, M. (2016). The Diabetic Foot. In: David, S. (eds) Clinical Pathways in Emergency Medicine. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2713-7_29

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  • DOI: https://doi.org/10.1007/978-81-322-2713-7_29

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  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2711-3

  • Online ISBN: 978-81-322-2713-7

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