Surgical strategies for prevention of amputation of the diabetic foot.
Charcot
Diabetic foot
Infection
Ischemia
Ulcers
Wound
Journal
Journal of clinical orthopaedics and trauma
ISSN: 0976-5662
Titre abrégé: J Clin Orthop Trauma
Pays: India
ID NLM: 101559469
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
18
01
2021
revised:
22
02
2021
accepted:
22
02
2021
entrez:
19
3
2021
pubmed:
20
3
2021
medline:
20
3
2021
Statut:
epublish
Résumé
Prevention of amputation has become a key objective of clinicians providing care to patients with high-risk diabetic foot problems. In this regard, the multidisciplinary diabetic foot team (MDFT) has been embraced as the most effective way to manage patients with foot ulcers, infections, and Charcot feet. Importantly, such specialized teams have also integrated various surgical specialties to enable more expedient management of these often complex conditions. Experienced diabetic foot surgeons over the last three or four decades have contributed much to this discipline, whereby foot-sparing reconstructive procedures or minor amputations have become fundamental strategies for limb preservation teams. Central to limb salvage, of course, is the recognition of underlying vascular insufficiency and the importance of prompt (endo)vascular intervention. Restoration of adequate perfusion is essential to allow the podiatric, orthopaedic, or plastic surgeon to perform indicated functional reconstructive or minor amputation procedures. This evidence-based overview discusses the various indications and surgical principles inherent in modern concepts aimed at preventing amputation in the high-risk diabetic foot.
Identifiants
pubmed: 33738238
doi: 10.1016/j.jcot.2021.02.019
pii: S0976-5662(21)00141-7
pmc: PMC7944028
doi:
Types de publication
Journal Article
Langues
eng
Pagination
99-105Informations de copyright
© 2021 Delhi Orthopedic Association. All rights reserved.
Déclaration de conflit d'intérêts
All authors report no conflicts of interest in the writing of this manuscript.
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