Medical Management of Acute Foot Injury in Diabetic Patients
Journal Title: Journal of Endocrinology and Diabetes - Year 2016, Vol 3, Issue 3
Abstract
Diabetic foot is the main cause of hospitalization in diabetic patients and the most common cause of lower extremity amputation. Infection and ischemia are the main risk factors for major amputation and death in case of critical diabetic foot ulcers. In case of acute diabetic foot, a specific limb salvage protocol should be adopted to reduce the risk of amputation and general complications. Immediate surgical approach and medical management are required. The aim of this paper is to define step by step the medical approach in case emergency acute diabetic foot patients: early diagnosis, acute offloading, antibiotic therapy, management of peripheral revascularization, treatment of general conditions. Each stage is adequately analysed and described according to scientific evidences and personal experience.
Authors and Affiliations
Marco Meloni, Valentina Izzo, Laura Giurato, Luigi Uccioli
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