title: [Diabetic foot].
abstract: Diabetics suffer from a high rate of amputation. Unclear terminology is partially responsible. We offer a clear classification (type A = PAOD; type B = polyneuropathy; type C = combination of A + B). Our classification for plantar ulcer is simple and yields clear indications for appropriate therapy. The operative principles for type B, foot will be discussed (dorsal incision, distal two-thirds resection of metatarsals, proper coverage of bones with soft tissues, necrectomy, placement of Gentamycin-bonded collagen sponge, drainage, primary wound closure, plantar ulcer left untouched). In a collection of 284 treated type B diabetic feet, in only 6% of cases was there secondary wound healing. The plantar ulcer was always cured.
authors.affiliation: Chirurgische Klinik, St. Clemens Hospitale Sterkrade gGmbH, Oberhausen.
authors.forename: B
authors.initials: B
authors.lastname: Arlt
authors.forename: J
authors.initials: J
authors.lastname: Protze
mesh_terms: D019072:Antibiotic Prophylaxis; D003646:Debridement; D017719:Diabetic Foot / Q000145:classification / Q000209:etiology / Q000601:surgery*; D004322:Drainage; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D011379:Prognosis; D012086:Reoperation; D014945:Wound Healing
vernacular_title: Diabetischer Fuss.