Emergency in Diabetic Foot

L, Meloni M Giurato

doi:10.4172/2165-7548.1000160

“…Kritik DA olgularında gerek iskemi gerekse infeksiyon hastanın hayati tehlikesine ve uzuv kaybına yol açabileceğinden birçok disiplinin beraber çalışması acil tanı ve tedavi için gereklidir (14). İskemi ve infeksiyonun bir arada olması ampütasyon ihtimalini oldukça artırmaktadır (170,171).…”

Section: Soru 2: Acil Cerrahi Girişim Gerektiren Durumlar Nelerdir?unclassified

“…Kritik diyabetik ayak olarak tanımlanabilecek olan apse, nekrotizan fasiit ve kapalı bir kompartmanda basınç artışı nedeniyle nekrotik dokuların yara iyileşmesine engel olduğu durumlar acil cerrahi müdahale gerektirmektedir. Kritik diyabetik ayak varlığı diyabetik hastalarda acil durum olarak değerlendirildiklerinden bu hastaların debridmanı, antibiyotik tedavisi, revaskülarizasyonu ve genel durum düzeltilmesi hızlıca yapılmalıdır (170). Yaradaki infeksiyonun sistemik toksisiteye, metabolik instabiliteye yol açabilmesi durumunda da hastaya acil cerrahi müdahale gereklidir (172).…”

Section: Soru 2: Acil Cerrahi Girişim Gerektiren Durumlar Nelerdir?unclassified

Untitled

2024

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Surgical management of DF ulcers can be analyzed in five sections: (a) Urgent ulcer intervention; abscess drainage and/or debridement, (b) surgical interventions for vascular pathologies, (c) ulcer closure interventions; reconstruction methods; graft and flap surgery, (d) reconstruction of bone and foot pathologies for ulcer prevention and treatment (Charcot foot deformity, Achilles lengthening, tenotomy, and osteotomies, etc.), (e) minor and major amputations when necessary. 14) Amputation may be a more appropriate choice when infected tissue cannot be completely cleaned with debridement, when the patient is bedridden or has a non-functional extremity, when it is believed that adequate revascularization cannot be achieved by orthopedic and plastic surgical interventions, in cases where reconstruction is nearly impossible, and in dialysis patients. 15) The goal of post-DFI reconstruction is to allow the ankle to reach a neutral position and to make the plantar surface of the foot have a balanced contact with the ground. 16) Selected ulcer care products can be used based on the characteristics of the ulcer to support and accelerate ulcer healing, reduce the risk of complications, ensure patient comfort during treatment, and improve quality of life. 17) DF ulcers often develop due to improper shoe selection during the structural and biomechanical changes, resulting in fluid accumulation and callus formation around bone surfaces. 18) Orthoses, which distribute pressure over the widest possible area, are the most effective means of reducing plantar pressure in the foot. 19) Hyperbaric oxygen therapy is beneficial in addition to revascularization and antibiotic therapy, which are the primary treatments for pathologies causing tissue hypoxia, such as ischemia, infection, and edema. 20) Negative pressure ulcer therapy is an additional adjunct method to conventional techniques, and it can contribute to the healing process with the correct indications. 21) In cases where the infection is under control, active osteomyelitis is absent, topical epidermal growth factor (EGF) can be used for Meggitt-Wagner ulcer classification grade 1-3, and intralesional EGF applications can be used for grade 3-4 in addition to standard treatments. 22) Preventive medical practices in people with diabetes, collaborative efforts of the patients, their families, and the medical team, and regular patient education are necessary to prevent DF ulcer development. In the event of DF ulcer development, interdisciplinary collaboration in moderate/severe infections is essential for early treatment and infection prevention.

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“…Kritik DA olgularında gerek iskemi gerekse infeksiyon hastanın hayati tehlikesine ve uzuv kaybına yol açabileceğinden birçok disiplinin beraber çalışması acil tanı ve tedavi için gereklidir (14). İskemi ve infeksiyonun bir arada olması ampütasyon ihtimalini oldukça artırmaktadır (170,171).…”

Section: Soru 2: Acil Cerrahi Girişim Gerektiren Durumlar Nelerdir?unclassified

“…Kritik diyabetik ayak olarak tanımlanabilecek olan apse, nekrotizan fasiit ve kapalı bir kompartmanda basınç artışı nedeniyle nekrotik dokuların yara iyileşmesine engel olduğu durumlar acil cerrahi müdahale gerektirmektedir. Kritik diyabetik ayak varlığı diyabetik hastalarda acil durum olarak değerlendirildiklerinden bu hastaların debridmanı, antibiyotik tedavisi, revaskülarizasyonu ve genel durum düzeltilmesi hızlıca yapılmalıdır (170). Yaradaki infeksiyonun sistemik toksisiteye, metabolik instabiliteye yol açabilmesi durumunda da hastaya acil cerrahi müdahale gereklidir (172).…”

Section: Soru 2: Acil Cerrahi Girişim Gerektiren Durumlar Nelerdir?unclassified

Diagnosis, Treatment, Prevention, and Rehabilitation of Diabetic Foot Ulcers and Infections: Turkish Consensus Report, 2024

Kadanali,

Saltoglu,

Ak

et al. 2024

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Surgical management of DF ulcers can be analyzed in five sections: (a) Urgent ulcer intervention; abscess drainage and/or debridement, (b) surgical interventions for vascular pathologies, (c) ulcer closure interventions; reconstruction methods; graft and flap surgery, (d) reconstruction of bone and foot pathologies for ulcer prevention and treatment (Charcot foot deformity, Achilles lengthening, tenotomy, and osteotomies, etc.), (e) minor and major amputations when necessary. 14) Amputation may be a more appropriate choice when infected tissue cannot be completely cleaned with debridement, when the patient is bedridden or has a non-functional extremity, when it is believed that adequate revascularization cannot be achieved by orthopedic and plastic surgical interventions, in cases where reconstruction is nearly impossible, and in dialysis patients. 15) The goal of post-DFI reconstruction is to allow the ankle to reach a neutral position and to make the plantar surface of the foot have a balanced contact with the ground. 16) Selected ulcer care products can be used based on the characteristics of the ulcer to support and accelerate ulcer healing, reduce the risk of complications, ensure patient comfort during treatment, and improve quality of life. 17) DF ulcers often develop due to improper shoe selection during the structural and biomechanical changes, resulting in fluid accumulation and callus formation around bone surfaces. 18) Orthoses, which distribute pressure over the widest possible area, are the most effective means of reducing plantar pressure in the foot. 19) Hyperbaric oxygen therapy is beneficial in addition to revascularization and antibiotic therapy, which are the primary treatments for pathologies causing tissue hypoxia, such as ischemia, infection, and edema. 20) Negative pressure ulcer therapy is an additional adjunct method to conventional techniques, and it can contribute to the healing process with the correct indications. 21) In cases where the infection is under control, active osteomyelitis is absent, topical epidermal growth factor (EGF) can be used for Meggitt-Wagner ulcer classification grade 1-3, and intralesional EGF applications can be used for grade 3-4 in addition to standard treatments. 22) Preventive medical practices in people with diabetes, collaborative efforts of the patients, their families, and the medical team, and regular patient education are necessary to prevent DF ulcer development. In the event of DF ulcer development, interdisciplinary collaboration in moderate/severe infections is essential for early treatment and infection prevention.

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“…approach have allowed spread knowledge in the field of DF. A standard protocol to treat ADF was not completely identified even if the approach during acute phase is usually defined by some established key points in association to clinicians' skills and individual experience [9]. The management of DFUs during acute phase is characterized by two key points: detection of ADF and treatment.…”

Section: Introductionmentioning

confidence: 99%