title: Diabetic foot ulcers: Part II. Management.
abstract: The management of diabetic foot ulcers can be optimized by using an interdisciplinary team approach addressing the correctable risk factors (ie, poor vascular supply, infection control and treatment, and plantar pressure redistribution) along with optimizing local wound care. Dermatologists can initiate diabetic foot care. The first step is recognizing that a loss of skin integrity (ie, a callus, blister, or ulcer) considerably increases the risk of preventable amputations. A holistic approach to wound assessment is required. Early detection and effective management of these ulcers can reduce complications, including preventable amputations and possible mortality.
authors.affiliation: Department of Medicine (Dermatology), University of Toronto, Toronto, Ontario, Canada; Wound Care Centre, Women's College Hospital, Toronto, Ontario, Canada. Electronic address: afsaneh.alavi@utoronto.ca.
authors.forename: Afsaneh
authors.initials: A
authors.lastname: Alavi
authors.affiliation: Department of Medicine (Dermatology), University of Toronto, Toronto, Ontario, Canada; Department of Medicine (Dermatology) and Public Health, University of Toronto, Toronto, Ontario, Canada; Wound Care Centre, Women's College Hospital, Toronto, Ontario, Canada.
authors.forename: R Gary
authors.initials: RG
authors.lastname: Sibbald
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital of Zurich, Zurich, Switzerland.
authors.forename: Dieter
authors.initials: D
authors.lastname: Mayer
authors.affiliation: Wound-Healing Clinic, Mississauga, Ontario, Canada.
authors.forename: Laurie
authors.initials: L
authors.lastname: Goodman
authors.affiliation: Wound Care Centre, Women's College Hospital, Toronto, Ontario, Canada.
authors.forename: Mariam
authors.initials: M
authors.lastname: Botros
authors.affiliation: Department of Surgery, The University of Arizona College of Medicine/SALSA, Tucson, Arizona.
authors.forename: David G
authors.initials: DG
authors.lastname: Armstrong
authors.affiliation: Faculty of Nursing, Queen's University, Kingston, Ontario, Canada.
authors.forename: Kevin
authors.initials: K
authors.lastname: Woo
authors.affiliation: Department of Prosthetics and Orthotics, University of Zurich, Zurich, Switzerland.
authors.forename: Thomas
authors.initials: T
authors.lastname: Boeni
authors.affiliation: Excelsior College, School of Nursing, Albany, New York.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Ayello
authors.affiliation: Department of Dermatology and Cutaneous Surgery, University of Miami, Miami, Florida.
authors.forename: Robert S
authors.initials: RS
authors.lastname: Kirsner
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use*; D001458:Bandages; D003646:Debridement; D017719:Diabetic Foot / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D005528:Foot / Q000098:blood supply / Q000294:innervation; D006801:Humans; D006931:Hyperbaric Oxygenation; D036341:Intercellular Signaling Peptides and Proteins / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D054843:Negative-Pressure Wound Therapy; D010019:Osteomyelitis / Q000382:microbiology; D010348:Patient Care Team; D011788:Quality of Life; D011859:Radiography
chemical_list: D000900:Anti-Bacterial Agents; D000891:Anti-Infective Agents, Local; D036341:Intercellular Signaling Peptides and Proteins