[The diabetic foot].
Diabetic patients are concerned with foot complications when a peripheral neuropathy is present. Screening of predisposed patients may be annually assessed using monofilament testing. Peripheral arterial disease, when associated, increases amputation risk. Ideal treatment requires a multidisciplinary approach with a first-line medical treatment including an optimal off-loading of the diabetic ulcer, ulcer dertersion, glycemic control, and if necessary antibiotic therapy. In case of associated osteomyelitis, a limited surgical resection of the infected bone may be performed. In case of associated arterial disease, a revascularization procedure precede bone resection.
Hartemann-Heurtier
Agnès
A
Service de diabétologie Groupe hospitalier La Pitié-La Salpêtrière 75651 Paris. agnes.heurtier@psl.ap-hop-paris.fr
Ha Van
Georges
G
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000628:therapy; D003646:Debridement; D017719:Diabetic Foot / Q000145:classification / Q000209:etiology* / Q000628:therapy*; D003929:Diabetic Neuropathies / Q000175:diagnosis; D006801:Humans; D010000:Osteitis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D055502:Secondary Prevention; D012775:Shoes
D000900:Anti-Bacterial Agents