scholarly journals Management of diabetic foot ulcer & atherosclerosis using tibial transverse bone lengthening technique; Bangladesh experience

2021 ◽  
Vol 13 (5) ◽  
pp. 99-104
Author(s):  
Choudhury Quayyum MKI ◽  
Islam Shahidul, ◽  
Ashraf Mohammad Tanvir ◽  
Bari AM Shayan R
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
High Rate ◽  
Bone Lengthening ◽  
Foot And Ankle ◽  
Tissue Destruction ◽  
Deep Tissue ◽  
Skin Ulcers ◽  
Chronic Skin

Diabetic foot ulcers (DFU) are chronic skin ulcers associated with deep tissue destruction around the foot and ankle region with varying degrees of lower extremity vasculopathy and neuropathy. Diabetic foot ulcer is associated with a high rate of morbidity, disability, mortality and psycho-social cost.

Biomechanics of the Diabetic Foot

2018 ◽  
Author(s):  
Paul J Kim
Keyword(s):  
Lower Extremity ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
The Body ◽  
Foot And Ankle ◽  
Foot Deformity ◽  
Shear Forces ◽  
Functional Capabilities ◽  
Key Words Biomechanics

The lower extremity is uniquely equipped to withstand the demands of ambulation that involve a complex orchestration of events to efficiently propel the body forward. The reparative properties and functional capabilities are compromised in the diabetic foot and ankle. Therefore, the diabetic foot is at risk for the development of a chronic ulcer or necessitates the need for an amputation. Unique forces are experienced in the lower extremity during ambulation. Specifically, sagittal and shear forces are less tolerated in the diabetic foot. This chapter discusses the normal and abnormal biomechanics of the diabetic foot and ankle that lead to the development of an ulcer and promote its chronicity. Further, a biomechanical-focused conservative and surgical approach to prevention, treatment, and methods to curtail recidivism will be addressed. This review contains 7 figures, 3 tables, and 42 references. Key Words: biomechanics, diabetic foot ulcer, foot deformity, function, offloading, plantar pressure, recidivism, shear

Is mechanical correction of the foot and ankle important for healing the diabetic foot ulcer?

2017 ◽  
Vol 23 ◽  
pp. 94
Author(s):  
H. El-Mowafi ◽  
Y. Kandil ◽  
A. El-hawary
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Foot And Ankle

scholarly journals A Diabetic Foot Survey

2018 ◽  
Vol 2 (2) ◽  
pp. 8-18
Author(s):  
Sailaj Ranjitkar ◽  
Eli Pradhan ◽  
Sujan Paudel ◽  
Shreya Pradhan ◽  
Subodh Dhakal
Keyword(s):  
Risk Factors ◽  
Diabetic Retinopathy ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
World Health Organisation ◽  
World Health ◽  
Diabetic Patients ◽  
Tissue Destruction ◽  
Level Of Education

Introduction: Diabetic foot has been defined by the International Working Group on the Diabetic foot and World Health Organisation as a Diabetic patient’s foot, associated with neuropathy, ischaemia or both, which has lead to ulceration, infection and/or deep tissue destruction An association of diabetic retinopathy with risk factors of Diabetic foot ulcer has been seen. Hence it is important to assess diabetic patients for risk factors leading to diabetic foot and tally these risks with diabetic retinopathy to help early diagnosis and management of diabetic foot and diabetic retinopathy. Methodology: This is a community based survey of a cohort of randomly presented patients examined on a first come first service basis limited to maximum of 100 patients to be reviewed in a day in a free health camp in Jaishi Dewal, Kathmandu, Nepal. The data of the patients were noted in a proforma documenting risks of diabetic foot and diabetic retinopathy. Results: Out of the 82 patients reviewed in the medical camp 38 were diabetic (type 2) with a mean age of 60.29 years being more common in females. Risk of Diabetic foot did have a definite association with level of education more common in the lesser educated and occupation (commonest in housewives). Awareness of risk of diabetic foot was only among 39.5% of the diabetic patients. Diabetic retinopathy was also seen only among 18.4% of the diabetic patients, being more common in the educated. Conclusion: Education and awareness programmes towards diabetic foot protocol are important despite the level of education or occupation. In diabetic patients, it is important to screen for risks of diabetic foot especially if patient has a history of hypertension and also screen for diabetic retinopathy.  

scholarly journals Clinical, Pathological and Microbiological Evaluation of Diabetic Foot Syndrome

Medicina ◽  
2020 ◽  
Vol 56 (8) ◽  
pp. 380
Author(s):  
Bogdan Uivaraseanu ◽  
Simona Bungau ◽  
Delia Mirela Tit ◽  
Ovidiu Fratila ◽  
Marius Rus ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Treatment Options ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Diabetic Polyneuropathy ◽  
High Rate ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Complications Of Diabetes ◽  
Bacterial Aetiology

Background and objectives: Diabetic foot ulcer (DFU) is one of the serious complications of diabetes, being related to frequent and long-term hospitalisation, reduced quality of life of the patient, amputations, a high rate of morbidity and mortality. The bacterial aetiology is complex, sometimes involving more than one pathogen, playing a major role in the infection prognosis and development of microbial resistance. This study evaluated the current state of the aetiology, clinical and pathological characteristics of DFU in a single diabetes centre in order to provide some specific measures to prevent it. Materials and Methods: This retrospective study was conducted on patients with diabetes mellitus (252 individuals diagnosed with DFU) between January 2018–December 2019. All participants were assessed based on their clinical characteristics, including complications of diabetes and pathological and microbiological evaluations. Results: The present research revealed that diabetic foot ulcer prevalence was higher in males than in females and higher in type 2 diabetic patients than in type 1 diabetic patients. The patients with diabetic foot ulcer were older, had a higher body mass index (BMI), longer diabetic duration and had more diabetic complications, such as retinopathy, diabetic polyneuropathy and diabetic kidney disease, than patients without diabetic foot ulceration. Conclusions: Taking into account all factors involved, including the aetiology and the antibiotic susceptibility pattern of these isolates, planning the suitable treatment options of patients is possible.

Diabetic Foot Complications Despite Successful Pancreas Transplantation

2017 ◽  
Vol 38 (6) ◽  
pp. 656-661 ◽  
Author(s):  
Dong-Kyo Seo ◽  
Ho Seong Lee ◽  
Jungu Park ◽  
Chang Hyun Ryu ◽  
Duck Jong Han ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Pancreas Transplantation ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Foot And Ankle ◽  
Charcot Arthropathy ◽  
Level Of Evidence ◽  
Foot Complications ◽  
Patients With Diabetes ◽  
Normal Glucose Level

Background: It is known that successful pancreas transplantation enables patients with diabetes to maintain a normal glucose level without insulin and reduces diabetes-related complications. However, we have little information about the foot-specific morbidity in patients who have undergone successful pancreas transplantation. The purpose of this study was to investigate the prevalence and predisposing factors for foot complications after successful pancreas transplantation. Methods: This retrospective study included 218 patients (91 males, 127 females) who had undergone pancreas transplantation for diabetes. The mean age was 40.7 (range, 15-76) years. Diabetes type, transplantation type, body mass index, and diabetes duration before transplantation were confirmed. After pancreas transplantation, the occurrence and duration of foot and ankle complications were assessed. Results: Twenty-two patients (10.1%) had diabetic foot complications. Fifteen patients (6.9%) had diabetic foot ulcer and 7 patients (3.2%) had Charcot arthropathy. Three patients had both diabetic foot ulcer and Charcot arthropathy. Three insufficiency fractures (1.4%) were included. Mean time of complications after transplantation was 18.5 (range, 2-77) months. Creatinine level 1 year after surgery was higher in the complication group rather than the noncomplication group ( P = .02). Conclusion: Complications of the foot and ankle still occurred following pancreas transplantation in patients with diabetes. Level of Evidence: Level III, comparative study

STUDY OF SURGICAL MANAGEMENT AND COMPLICATIONS OF DIABETIC FOOT ULCER

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Dr. Devi Das Verma ◽  
Dr. Anil Kumar Saxena
Keyword(s):  
Health Problem ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
World Health ◽  
Foot Ulcers ◽  
Age Group ◽  
Major Health Problem ◽  
Split Skin Grafting ◽  
Foot Problems

Introduction:  Diabetes is one of the most prevalent metabolic chronic diseases due to the imbalance production of insulin. One of the studies reported that in 2010 worldwide 285 million adults had diabetes and this figure may be increase to 439 million by the year 2030. Globally Diabetic foot ulcers (DFUs) constitute major health problem in people that significantly contribute to morbidity and mortality in diabetes patients. Approximate 1.0% to 4.1% of the annual population-based incidences of a diabetic foot ulcer (DFU) were reported. Due to this the lifetime may be as high as 25%. In Asian countries diabetic foot ulcer are major problems which are different from European countries or developing countries.  From many studies reported diabetic foot problems in India are infectious and neuropathic in nature as compared to developed countries. According to World Health Organization (WHO) diabetic foot is defined as lower limb of a diabetic patient characterized by infection, potential risk of pathologic consequences ulceration or destruction of deep tissues associated with neurological abnormalities, various changes in peripheral neuropathy vasculopathy and superimposed infection that are mainly responsible foot ulceration. Ulcers are one kind of abscess which is difficult to treat because of poor wound healing that result from a combination of neuropathy, ischemia and hyperglycemia.  Aim: The main objective was to study the outcome of treatment modalities and it’s relating factors to complication in diabetic foot ulcer.  Material and method:  Total 60 diabetic foot ulcer patients with the age range from 20 to 70 years were included.  From all the patients’ detailed past and present history were recorded.  For all the patients, general, physical and local and systemic examinations were also done. Detail   laboratory examination like Fasting and Post Prandial Blood sugar levels, blood count, ECG, ESR, complete urine examination for the presence of ketone bodies and sugar, x-ray as well as culture and sensitivity of the discharge from ulcer were also done. Patients were treated with various treatment methods like conservative treatment, split skin grafting and amputation. Result: In this study male patients were more in proportion as compared to female. This study showed that maximum with the age group 14 -50 (43.3%) years old followed by 18.3% in 31-40 years old, 16.7% in 61-70 years old.  6.7% showed the least age group as 20 -30 years old.  Out of total 60 patients, 38.3% of the patients showed diabetic ulcer foot which was more whereas 15% showed diabetic gangrene foot which was least. 25% showed diabetic cellulites foot and 21.7% showed as diabetic abscess foot.  Conclusion: Globally as diabetes mellitus cases are increasing and it became rapidly the public health problem. This may be due to burden on economy, health system and on society to manage the diabetic foot problems. Diabetic foot management guidelines must be made into our practice protocols which may preventing limb loss, and decrease mortality and increase the quality of life of the patient. Hence for this it is only possible with the help of foot care education and health care workers.  Hence, foot infection is to put first and care for it like hands. Keywords: Diabetes, foot ulcers, infections, amputations.

Cost of illness among patients with diabetic foot ulcer in secondary and tertiary health facilities in Kano, northwestern Nigeria

2015 ◽  
Author(s):  
Fakhraddeen Muhammad ◽  
Lateefah Pedro ◽  
Hassan Suleiman ◽  
Enikuomehin Adenike ◽  
Rahila Mukhtar ◽  
...  
Keyword(s):  
Cost Of Illness ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Health Facilities

Efficiency of application of silicate sorbents in surgical treatment of patients with neuro-ischemic form of diabetic foot ulcer

2019 ◽  
Author(s):  
Maksym Prystupiuk ◽  
Iuliia Onofriichuk ◽  
Lev Prystupiuk ◽  
Ludmila Naumova ◽  
Marianna Naumova
Keyword(s):  
Surgical Treatment ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer

603-P: A Unique, Definitive, and Durable Solution for the Chronic Diabetic Foot Ulcer

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 603-P
Author(s):  
LEWIS FREED
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer
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