Surgical management of the diabetic foot:The current evidence
作者机构：Department of Trauma and OrthopaedicsWrexham Maelor HospitalWrexham LL137TDUnited Kingdom Department of Trauma and OrthopaedicsThe Robert Jones and Agnes Hunt Orthopaedic HospitalOswestry SY107AGUnited Kingdom
出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)
年 卷 期：2024年第15卷第5期
页 面：404-417页
学科分类：1002[医学-临床医学] 100204[医学-神经病学] 10[医学]
主 题：Diabetes Diabetic foot Charcot Osteomyelitis Amputation Diabetic foot attack Conservative surgery
摘 要：The prevalence of diabetes mellitus and its associated complications,particularly diabetic foot pathologies,poses significant healthcare challenges and economic burdens *** review synthesises current evidence on the surgical management of the diabetic foot,focusing on the interplay between neuropathy,ischemia,and infection that commonly culminates in ulcers,infections,and,in severe cases,*** escalating incidence of diabetes mellitus underscores the urgency for effective management strategies,as diabetic foot complications are a leading cause of hospital admissions among diabetic patients,significantly impacting morbidity and mortality *** review explores the pathophysiological mechanisms underlying diabetic foot complications and further examines diabetic foot ulcers,infections,and skeletal pathologies such as Charcot arthropathy,emphasising the critical role of early diagnosis,comprehensive management strategies,and interdisciplinary care in mitigating adverse *** addressing surgical interventions,this review evaluates conservative surgeries,amputations,and reconstructive procedures,highlighting the importance of tailored approaches based on individual patient profiles and the specific characteristics of foot *** integration of advanced diagnostic tools,novel surgical techniques,and postoperative care,including offloading and infection control,are discussed in the context of optimising healing and preserving limb function.
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