[The diabetic foot--state of the art from the orthopedic point of view].
A 15-30% rate of amputation of diabetic feet suggests that efforts have to be directed towards improvement of preventive measure including instruction of patients and relatives concerning foot wear. So called foot rules have been established. If surgery is indicated, an angiological and neurological assessment should be performed preoperatively. An ulcer should undergo debridement, plantar pressure release with a full contact cast and antibiotic therapy, if infected. The goal of treatment of Charcot's disease is prevention of deformity. Usually orthoses are sufficient, in irreducible deformities an arthrodesis should be considered. There is no doubt that the interdisciplinary approach improves the treatment of the diabetic foot.
Schaefer
D
D
Orthopädische Universitätsklinik Basel.
D017719:Diabetic Foot / Q000601:surgery / Q000628:therapy*; D006801:Humans; D019637:Orthopedic Procedures / Q000639:trends*
Der diabetische Fuss--State of the Art--Orthopädie.