Diabetic Foot Ulcers — Treatment and Prevention

Shapiro, Jarrod; Koshimune, Diane; Moellmer, Rebecca

doi:10.5772/56400

Cited by 3 publications

(4 citation statements)

References 103 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several wound classification systems have been created, based on parameters such as extent of infection, neuropathy, ischemia, depth or extent of tissue loss, and location. 9 The most widely accepted classification system for diabetic foot ulcers and lesions is the Wagner ulcer classification system, which is based on the depth of penetration, the presence of osteomyelitis or gangrene, and the extent of tissue necrosis (Table 1)…”

Section: Discussionmentioning

confidence: 99%

Challenges of dealing diabetic foot and step wise surgical management

Sharmin

Khan²,

Humayra

et al. 2020

ZHSWMCJ

View full text Add to dashboard Cite

Soft tissue reconstruction of the diabetic foot is a challenge for the perioperative team. This study aims to describe a group of methods for the management of diabetic foot ulcers in order to reduce deformity and salvage the lower limb. This study emphasizes the appropriate timing and staging of surgery, discusses the most common plastic surgery techniques, and underscores the importance of a team approach in the management of diabetic foot wounds. A group of different advanced methods for the management of Diabetic foot such as sharp debridement of ulcers, application of vacuum therapy, and other forms of reconstructive plastic surgical procedures were used. Data collection was done in Z. H. Sikder Womens Medical College Hospital where the treatments were given. The study period was Jan 2018 to July 2019. Thirty-four patients with type 2 and type 1 diabetes mellitus were enrolled in the current study. Females (61.05%) and males (38.95%) with different stages of diabetic ulcer and related problem underwent treatment within this time frame. They underwent different methods of surgical management: debridement (12%), vacuum therapy (24.06%), amputation (4.04%), skin grafting (38.00%) and flap reconstruction (21%). The outcome is satisfactory and offer less hospital stay. Using advanced surgical wound management including reconstructive plastic surgical procedures; it was possible to reduce the hospital stay, the rate of high amputations of the lower limb and the deformity.

show abstract

Section: Discussionmentioning

confidence: 99%

Challenges of dealing diabetic foot and step wise surgical management

Sharmin

Khan²,

Humayra

et al. 2020

ZHSWMCJ

View full text Add to dashboard Cite

show abstract

“…Since neuropathic diabetic plantar foot ulcers are often found over a bony prominence, offloading to reduce pressure plays an important role in treatment. Total contact casting (TCC) is a method of offloading that is superior to a removable walking cast [ 5 , 6 ]. Alternative approaches to improving healing time, when a total-contact cast is unavailable or contraindicated, include placing the patient in a wedge-type shoe or walking boot, the use of flexible and rigid casting tape or felt aperture padding, or complete bed rest [ 6 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Total contact casting (TCC) is a method of offloading that is superior to a removable walking cast [ 5 , 6 ]. Alternative approaches to improving healing time, when a total-contact cast is unavailable or contraindicated, include placing the patient in a wedge-type shoe or walking boot, the use of flexible and rigid casting tape or felt aperture padding, or complete bed rest [ 6 – 10 ]. Nonetheless, despite the availability of these various alternatives, TCC remains the ‘gold standard’ treatment option [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Alternative approaches to improving healing time, when a total-contact cast is unavailable or contraindicated, include placing the patient in a wedge-type shoe or walking boot, the use of flexible and rigid casting tape or felt aperture padding, or complete bed rest [ 6 – 10 ]. Nonetheless, despite the availability of these various alternatives, TCC remains the ‘gold standard’ treatment option [ 6 ]. Although in most cases the use of a total-contact cast can be effective for allowing a patient to walk without undergoing surgery [ 11 , 12 ], there are drawbacks to this conservative method of treatment.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of Arthrodesis with Total Contact Casting for Midfoot Ulcerations Associated with Charcot Neuroarthropathy

et al. 2015

View full text Add to dashboard Cite

Background Gross deformity of the foot in Charcot neuroarthropathy can lead to foot collapse and subsequent ulceration, infection, amputation, or premature death. Total-contact casting (TCC) is a well-established treatment for neuropathic diabetic plantar foot ulcers. It was hypothesized that arthrodesis plus TCC may have advantages over TCC alone. This pilot study compared the effectiveness of arthrodesis plus TCC with TCC alone for the prevention, treatment, and recurrence of midfoot ulcerations associated with Charcot neuroarthropathy. Material/Methods Twenty-one subjects with plantar ulcers associated with unilateral diabetic Charcot midfoot neuroarthropathy were randomly assigned to ADS or TCC groups. The ADS group underwent an extended medial column arthrodesis procedure and TCC; ulcers were sutured directly. The TCC group underwent TCC alone with dressing changes. All patients underwent nerve conduction studies and quantitative sensory testing at baseline and during follow-up (6 and 12 months). Healing time and ulcer relapse rate were evaluated. Result Compared with the TCC group, there were fewer lesions in the ADS group after treatment (P<0.05). Temperature testing and vibration perception threshold improved significantly after ADS (P<0.05). Although the number of patients positive for pinprick and light touch sensations increased after surgery, not all patients recovered these sensations. Healing time was not significantly different between the 2 groups (24.25±3.89 vs. 25.89±2.84 days, P>0.05). There was no ulcer recurrence after 12 months in the ADS group compared with 33.3% in the TCC group. Conclusions An extended medial column arthrodesis may partly improve sensory impairments and restore protective sensation in patients with Charcot neuroarthropathy.

show abstract

Molecular Mechanism and Biomechanics of the Diabetic Foot: The Road to Foot Ulceration and Healing

Zubair

Fatima

2020

Diabetic Foot Ulcer

View full text Add to dashboard Cite

Diabetic Foot Ulcers — Treatment and Prevention

Cited by 3 publications

References 103 publications

Challenges of dealing diabetic foot and step wise surgical management

Challenges of dealing diabetic foot and step wise surgical management

Comparison of Arthrodesis with Total Contact Casting for Midfoot Ulcerations Associated with Charcot Neuroarthropathy

Molecular Mechanism and Biomechanics of the Diabetic Foot: The Road to Foot Ulceration and Healing

Contact Info

Product

Resources

About