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[The diabetic foot].

Authors
  • Hartemann-Heurtier, Agnès
  • Ha Van, Georges
Type
Published Article
Journal
La Revue du praticien
Publication Date
May 15, 2003
Volume
53
Issue
10
Pages
1102–1108
Identifiers
PMID: 12846031
Source
Medline
License
Unknown

Abstract

Diabetic patients are concerned with foot complications when a peripheral neuropathy is present. Screening of predisposed patients may be annually assessed using monofilament testing. Peripheral arterial disease, when associated, increases amputation risk. Ideal treatment requires a multidisciplinary approach with a first-line medical treatment including an optimal off-loading of the diabetic ulcer, ulcer dertersion, glycemic control, and if necessary antibiotic therapy. In case of associated osteomyelitis, a limited surgical resection of the infected bone may be performed. In case of associated arterial disease, a revascularization procedure precede bone resection.

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