About the book
This book will treat the main aspects of the diabetic foot. It will concern the Diagnosis and Management of Diabetic Foot Complications. Diabetic foot is a serious complication of diabetes which aggravates the patient’s condition. Diabetes Mellitus is known to have many complications and one of the most distressing is diabetic foot ulcer which affects 15% of people with diabetes. At least half of all amputations occur in people with diabetes, most commonly because of an infected diabetic foot ulcer.
A diabetic foot ulcer is multifactorial and characterized by a classical triad of neuropathy, ischemia, and infection. Infection and peripheral artery disease are key contributors to amputation risk.
Patients at the highest risk for ulceration are those who have a history of ulceration, amputation, peripheral vascular surgery, or Charcot neuroarthropathy.
The majority of foot ulcers will heal, while 10–15% of them will remain active, and 5–24% of them will finally lead to limb amputation within a period of 6–18 months after the first evaluation.
The gold standard for diabetic foot ulcer treatment includes debridement of the wound, medical treatment of any infection, revascularization procedures and surgery.