Current concepts for the evaluation and management of diabetic foot ulcers

The lifetime risk for diabetic patients to develop a diabetic foot ulcer (DFU) is 25%. In these patients, the risk of amputation is increased and the outcome deteriorates. More than 50% of non-traumatic lower-extremity amputations are related to DFU infections and 85% of all lower-extremity amputati...

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Autores principales: Mavrogenis, Andreas F., Megaloikonomos, Panayiotis D., Antoniadou, Thekla, Igoumenou, Vasilios G., Panagopoulos, Georgios N., Dimopoulos, Leonidas, Moulakakis, Konstantinos G., Sfyroeras, George S., Lazaris, Andreas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2018
Materias:
Foot & Ankle
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174858/
https://www.ncbi.nlm.nih.gov/pubmed/30305936
http://dx.doi.org/10.1302/2058-5241.3.180010
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author Mavrogenis, Andreas F.
Megaloikonomos, Panayiotis D.
Antoniadou, Thekla
Igoumenou, Vasilios G.
Panagopoulos, Georgios N.
Dimopoulos, Leonidas
Moulakakis, Konstantinos G.
Sfyroeras, George S.
Lazaris, Andreas
author_facet Mavrogenis, Andreas F.
Megaloikonomos, Panayiotis D.
Antoniadou, Thekla
Igoumenou, Vasilios G.
Panagopoulos, Georgios N.
Dimopoulos, Leonidas
Moulakakis, Konstantinos G.
Sfyroeras, George S.
Lazaris, Andreas
author_sort Mavrogenis, Andreas F.
collection PubMed
description The lifetime risk for diabetic patients to develop a diabetic foot ulcer (DFU) is 25%. In these patients, the risk of amputation is increased and the outcome deteriorates. More than 50% of non-traumatic lower-extremity amputations are related to DFU infections and 85% of all lower-extremity amputations in patients with diabetes are preceded by an ulcer; up to 70% of diabetic patients with a DFU-related amputation die within five years of their amputation. Optimal management of patients with DFUs must include clinical awareness, adequate blood glucose control, periodic foot inspection, custom therapeutic footwear, off-loading in high-risk patients, local wound care, diagnosis and control of osteomyelitis and ischaemia. Cite this article: EFORT Open Rev 2018;3:513-525. DOI: 10.1302/2058-5241.3.180010
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spelling pubmed-61748582018-10-10 Current concepts for the evaluation and management of diabetic foot ulcers Mavrogenis, Andreas F. Megaloikonomos, Panayiotis D. Antoniadou, Thekla Igoumenou, Vasilios G. Panagopoulos, Georgios N. Dimopoulos, Leonidas Moulakakis, Konstantinos G. Sfyroeras, George S. Lazaris, Andreas EFORT Open Rev Foot & Ankle The lifetime risk for diabetic patients to develop a diabetic foot ulcer (DFU) is 25%. In these patients, the risk of amputation is increased and the outcome deteriorates. More than 50% of non-traumatic lower-extremity amputations are related to DFU infections and 85% of all lower-extremity amputations in patients with diabetes are preceded by an ulcer; up to 70% of diabetic patients with a DFU-related amputation die within five years of their amputation. Optimal management of patients with DFUs must include clinical awareness, adequate blood glucose control, periodic foot inspection, custom therapeutic footwear, off-loading in high-risk patients, local wound care, diagnosis and control of osteomyelitis and ischaemia. Cite this article: EFORT Open Rev 2018;3:513-525. DOI: 10.1302/2058-5241.3.180010 British Editorial Society of Bone and Joint Surgery 2018-09-27 /pmc/articles/PMC6174858/ /pubmed/30305936 http://dx.doi.org/10.1302/2058-5241.3.180010 Text en © 2018 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Foot & Ankle
Mavrogenis, Andreas F.
Megaloikonomos, Panayiotis D.
Antoniadou, Thekla
Igoumenou, Vasilios G.
Panagopoulos, Georgios N.
Dimopoulos, Leonidas
Moulakakis, Konstantinos G.
Sfyroeras, George S.
Lazaris, Andreas
Current concepts for the evaluation and management of diabetic foot ulcers
title Current concepts for the evaluation and management of diabetic foot ulcers
title_full Current concepts for the evaluation and management of diabetic foot ulcers
title_fullStr Current concepts for the evaluation and management of diabetic foot ulcers
title_full_unstemmed Current concepts for the evaluation and management of diabetic foot ulcers
title_short Current concepts for the evaluation and management of diabetic foot ulcers
title_sort current concepts for the evaluation and management of diabetic foot ulcers
topic Foot & Ankle
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174858/
https://www.ncbi.nlm.nih.gov/pubmed/30305936
http://dx.doi.org/10.1302/2058-5241.3.180010
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