scholarly journals Amit Jain’s new models for diabetic foot

2018 ◽  
Vol 5 (11) ◽  
pp. 3789
Author(s):  
Amit Kumar C. Jain
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Multidisciplinary Approach ◽  
Asian Countries ◽  
Foot Surgery ◽  
The West ◽  
New Concepts ◽  
New Models

Diabetes mellitus and its complications are growing worldwide. Diabetic foot is one such devastating complication often associated with amputation and mortality if not prevented. Various different specialists are involved in management of diabetic foot in form of multidisciplinary approach in view of lack of diabetic foot surgeons. The author proposes various new models for diabetic foot that are novel, visionary, practical and applicable in Asian countries like India where the education pattern is different from the west. These new concepts are addition to author’s Amit Jain’s system of practice for diabetic foot, which now is considered a modern diabetic foot surgery.

Surgical Off-loading of the Diabetic Foot

2010 ◽  
Vol 100 (5) ◽  
pp. 369-384 ◽  
Author(s):  
Robert G. Frykberg ◽  
Nicholas J. Bevilacqua ◽  
Geoffrey Habershaw
Keyword(s):  
Diabetes Mellitus ◽  
High Risk ◽  
Diabetic Foot ◽  
Surgical Intervention ◽  
Surgical Decompression ◽  
Foot Ulcers ◽  
Foot Surgery ◽  
Patients With Diabetes

Surgical intervention for chronic deformities and ulcerations has become an important component in the management of patients with diabetes mellitus. Such patients are no longer relegated to wearing cumbersome braces or footwear for deformities that might otherwise be easily corrected. Although surgical intervention in these often high-risk individuals is not without risk, the outcomes are fairly predictable when patients are properly selected and evaluated. In this brief review, we discuss the rationale and indications for diabetic foot surgery, focusing on the surgical decompression of deformities that frequently lead to foot ulcers. (J Am Podiatr Med Assoc 100(5): 369–384, 2010)

scholarly journals Diabetic Foot Osteomyelitis: Frequent Pathogens and Conservative Antibiotic Therapy

2021 ◽  
Author(s):  
Nicolas Vogel ◽  
Tanja Huber ◽  
Ilker Uçkay
Keyword(s):  
Diabetes Mellitus ◽  
Antibiotic Therapy ◽  
Diabetic Foot ◽  
Multidisciplinary Approach ◽  
Conservative Therapy ◽  
State Of The Art ◽  
Psychological Aspects ◽  
Clinical Recommendation ◽  
National Guidance ◽  
Diabetic Foot Osteomyelitis

Chronic diabetic foot osteomyelitis (DFO) is a frequent complication in adult polyneuropathy patients with long-standing diabetes mellitus. Regarding the conservative therapy, there are several crucial steps in adequate diagnosing and approaches. The management should be performed in a multidisciplinary approach following the findings of recent research, general principles of antibiotic therapy for bone; and according to (inter-)national guidance. In this chapter we emphasize the overview on the state-of-the-art management regarding the diagnosis and antibiotic therapy in DFO. In contrast, in this general narrative review and clinical recommendation, we skip the surgical, vascular and psychological aspects.

scholarly journals THE EFFECTIVENESS OF NEURAXIAL ANESTHESIA TECHNIQUES IN DIABETIC FOOT SURGERY

2017 ◽  
Vol 11 (2) ◽  
pp. 90-97
Author(s):  
Stanislav V. Zayashnikov ◽  
A. E Bautin ◽  
A. S Iakovlev ◽  
M. N Gurin ◽  
V. S Glebov ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Retrospective Study ◽  
Blood Glucose ◽  
Spinal Anesthesia ◽  
Diabetic Foot ◽  
Foot Surgery ◽  
Patients With Diabetes ◽  
Maximum Decrease ◽  
Anesthesia Technique ◽  
Group 10

Introduction. Common is considered that surgical procedures in patients with diabetes mellitus (DM) must be performed at a stable level of blood glucose and at a stable hemodynamic. Aim. Determine effective anesthesia technique for diabetic foot (DF).surgery. Materials and methods. 30 patients (59.5 (53; 67) yr old, 16 female and 14 male) with DM and DF surgery were included in a retrospective study. Spinal anesthesia was used in 10 patients (SA group). In the presence of contraindications to spinal anesthesia we used the blockade of the sciatic nerve (SNB group, 10 patients), or general anesthesia with tracheal intubation (GA group, 10 patients). Data are presented as median (25th, 75th percentile). Results. In the SA group mean arterial pressure (MAP) decreased from baseline by more than 20% in 80% of patients, in the SNB group - in 30% (p = 0,03) and in the GA group - in 60% of patients (ns). The median of maximum decrease in MAP during anesthesia was 25 (20; 27)% for the SA group, 16 (13; 22)% for the SNB group (p = 0,03) and 21 (15; 24)% for the GA group (ns). Infusion volume was lower In SNB group than in the SA group (500 (500; 750) vs 1500 (1500; 2000) ml, p

scholarly journals Amit Jain’s system of practice for diabetic foot: the modern diabetic foot surgery

2019 ◽  
Vol 5 (3) ◽  
pp. 532
Author(s):  
Gopal S. ◽  
Haridarshan S. J.
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Developing Country ◽  
Health Care Professional ◽  
Surgical Approach ◽  
Diabetic Foot ◽  
Complex Disease ◽  
Foot Surgery ◽  
Complications Of Diabetes ◽  
New System

<p class="abstract">Diabetic foot is a complex disease and one of the most common complications of diabetes mellitus. It is also a dreaded complication in view of the fact that patient may end up in an amputation rendering him dependant. Diabetic foot was well known to be neglected by patients and health care professional. Even our understanding of this disease was limited especially in underdeveloped and developing country. Amit Jain’s system of practice for diabetic foot, a modern diabetic foot surgical approach, is a new system for diabetic foot that has various new innovative concepts in diabetic foot. Majority of these concepts are unique and they have improvised our approach towards diabetic foot. This article currently highlights few of the concepts of this modern diabetic foot surgery system that has revolutionized the practice of diabetic foot.</p>

Medical management of the diabetic patient during podiatric surgery

1994 ◽  
Vol 84 (9) ◽  
pp. 432-438 ◽  
Author(s):  
SB Lewis ◽  
CF Biondo ◽  
JC Page
Keyword(s):  
Diabetes Mellitus ◽  
Wound Healing ◽  
Diabetic Foot ◽  
Postoperative Care ◽  
Medical Management ◽  
Perioperative Management ◽  
Diabetic Patients ◽  
Foot Surgery ◽  
Podiatric Surgery ◽  
Enhance Wound Healing

Diabetes mellitus commonly causes complications of the foot that can lead to surgery. The appropriate perioperative management of diabetic patients can reduce the morbidity and mortality associated with diabetic foot surgery and enhance wound healing. The authors review the effects of hyperglycemia, detail preoperative, intraoperative, and postoperative care, and describe anesthetic choices. An algorithm for management of hypoglycemia is offered.

scholarly journals PENGARUH SENAM KAKI DIABETIK TERHADAP PENURUNAN RISIKO ULKUS DIABETIKUM PADA PASIEN DIABETES MELLITUS TIPE 2 DI PUSKESMAS TAUPAH BARAT KECAMATAN TAUPAH BARAT KABUPATEN SIMEULE TAHUN 2020

2020 ◽  
Vol 6 (1) ◽  
pp. 50-56
Author(s):  
Yulis Hati ◽  
Dirayati Sharfina ◽  
Zamawawi
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Center ◽  
Diabetic Foot ◽  
Sampling Technique ◽  
The West ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers

Diabetes mellitus is a chronic disease that cannot be cured but can be controlled which can cause various complications. To reduce the risk of complications due to diabetes mellitus, diabetes exercise exercises can be done. This study aims to find out the Effect of Diabetic Foot Gymnastics on Reducing the Risk of Diabetic Ulcer in Type 2 Diabetes Mellitus Patients in West Taupah Health Center, West Taupah District, Simeule Regency 2020. This study uses a Pre-Experimental. The population in this study were all people with diabetes mellitus who visited the West Taupah Health Center as many as 32 people. The sampling technique used a purposive sampling technique of 20 people.  The results showed that the risk of diabetic ulcers before the implementation of diabetes foot exercises at the West Taupah Health Center was mostly high risk. The risk of diabetic ulcers after the implementation of diabetes foot exercises at the West Taupah Health Center was mostly low risk. There is an Influence before and after the implementation of Diabetic Foot Gymnastics on the Reduction of the Risk of Diabetic Ulcer in Type 2 Diabetes Mellitus Patients in West Taupah Health Center, West Taupah Subdistrict, Simeule Regency in 2020 with p = 0.0001 <α = 0.05. Suggestions in this study, especially for health workers should continue to try to do diabetic foot exercises on a scheduled basis in order to minimize the risk of diabetic ulcers.

scholarly journals Glycated Hemoglobin (HbA1c) as a Biomarker for Diabetic Foot Peripheral Neuropathy

Diseases ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 16
Author(s):  
Giulia Casadei ◽  
Marta Filippini ◽  
Lorenzo Brognara
Keyword(s):  
Diabetes Mellitus ◽  
Peripheral Neuropathy ◽  
Diabetic Foot ◽  
Glycated Hemoglobin ◽  
Chronic Inflammatory Demyelinating Polyneuropathy ◽  
Glycemic Variability ◽  
Future Research ◽  
Patients With Diabetes ◽  
Axonal Dysfunction ◽  
Biomarker Research

Background: Diabetic peripheral neuropathy (DPN) is known to predict foot ulceration, lower-extremity amputation and mortality. Patients with diabetes mellitus have a predisposition toward developing chronic inflammatory demyelinating polyneuropathy, and this may also facilitate the formation of diabetic foot and cutaneous impairment, which are considered one of the most serious impairments of diabetes mellitus, with a prevalence of 4–10% in this population. Biomarkers research provides opportunities for the early diagnosis of these complications for specific treatments useful to prevent amputation and, therefore, physical inability and mental disturbance. The recent literature has suggested that glycemic levels may be a novel factor in the pathogenesis of diabetic foot complications and is an important mediator of axonal dysfunction. The aim of this systematic literary review is to determine whether hemoglobin A1c (HbA1c) is a positive predictor for diabetic foot peripheral neuropathy and its complications, such as foot cutaneous impairments. There is a lack of consensus regarding the effect of glycemic variability on diabetic foot peripheral neuropathy, unlike other complications such as retinopathy, nephropathy or micro/macrovascular pathology. Methods: Relevant articles were searched in the Medline database using PubMed and Scopus and relevant keywords. The primary search terms used were “glycated hemoglobin” OR “HbA1c” AND “diabetic neuropathies” AND “Foot”. Results: A number of articles (336) were initially identified while searching the scientific literature regarding this topic, and 32 articles were selected and included in this review. Conclusions: This review highlights the role of HbA1c in diabetic foot peripheral neuropathy. Biomarkers play an important role in the decision-making process, and HbA1c levels are extensively used for diabetic foot clinical outcomes and settings, but biomarker research in diabetic foot peripheral neuropathy is in its infancy and will require careful attention to a number of factors and associations, since the consequences of DPN also include neurological alterations. HbA1c is an accurate and easy-to-administer test and can be an effective biomarker in establishing the diagnosis of diabetes, but future research should focus on standardizing the HbA1c level and selecting which DPN value and its correlated complications, such as foot cutaneous impairments, are the most informative.

scholarly journals Quantifying dermal microcirculatory changes of neuropathic and neuroischemic diabetic foot ulcers using spatial frequency domain imaging: a shade of things to come?

2020 ◽  
Vol 8 (2) ◽  
pp. e001815
Author(s):  
Grant A Murphy ◽  
Rajinder P Singh-Moon ◽  
Amaan Mazhar ◽  
David J Cuccia ◽  
Vincent L Rowe ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Spatial Frequency ◽  
Oxygen Saturation ◽  
Diabetic Foot ◽  
Clinical Course ◽  
Tissue Oxygen Saturation ◽  
Tissue Oxygen ◽  
Spatial Frequency Domain Imaging ◽  
Patients With Diabetes ◽  
Spatial Frequency Domain

IntroductionThe use of non-invasive vascular and perfusion diagnostics are an important part of assessing lower extremity ulceration and amputation risk in patients with diabetes mellitus. Methods for detecting impaired microvascular vasodilatory function in patients with diabetes may have the potential to identify sites at risk of ulceration prior to clinically identifiable signs. Spatial frequency domain imaging (SFDI) uses patterned near-infrared and visible light spectroscopy to determine tissue oxygen saturation and hemoglobin distribution within the superficial and deep dermis, showing distinct microcirculatory and oxygenation changes that occur prior to neuropathic and neuroischemic ulceration.Research designs and methods35 patients with diabetes mellitus and a history of diabetic foot ulceration were recruited for monthly imaging with SFDI. Two patients who ulcerated during the year-long longitudinal study were selected for presentation of their clinical course alongside the dermal microcirculation biomarkers from SFDI.ResultsPatient 1 developed a neuropathic ulcer portended by a focal increase in tissue oxygen saturation and decrease in superficial papillary hemoglobin concentration 3 months prior. Patient 2 developed bilateral neuroischemic ulcers showing decreased tissue oxygen saturation and increased superficial papillary and deep dermal reticular hemoglobin concentrations.ConclusionsWounds of different etiology show unique dermal microcirculatory changes prior to gross ulceration. Before predictive models can be developed from SFDI, biomarker data must be correlated with the clinical course of patients who ulcerate while being followed longitudinally.Trial registration numberNCT03341559.

scholarly journals Nurse’s actions in diabetic foot prevention: the perspective of the person with diabetes mellitus Ações do enfermeiro na prevenção do pé diabético: o olhar da pessoa com diabetes mellitus

2017 ◽  
Vol 9 (4) ◽  
pp. 1008
Author(s):  
Laiane De Fátima Pereira ◽  
Flávia Alexandre Pereira Paiva ◽  
Simone Albino Da Silva ◽  
Roberta Seron Sanches ◽  
Rogerio Silva Lima ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Minas Gerais

Objetivo: Investigar as ações realizadas pelo enfermeiro na prevenção do pé diabético na perspectiva da pessoa com DM. Métodos: Pesquisa com abordagem qualitativa, exploratória e descritiva, realizada com pessoas com diagnóstico de DM de um município de Minas Gerais, cadastradas em um projeto de extensão. Dados coletados por meio de entrevista semiestruturadas e de avaliação clínica dos pés. Os dados foram organizados e analisados na perspectiva da Análise Temática essencialista indutiva e semântica. Resultados: As ações efetivas para a prevenção do pé diabético aparecem muito perifericamente no conjunto dos dados, e que grande parte limitam-se as ações de educação em saúde e não ao exame dos pés. Conclusão: O enfermeiro deve promover de forma sistemática a prevenção do pé diabético empoderando as pessoas para a autonomia e para o autocuidado e o autoexame dos pés, o que contribui para a redução de complicações e melhoria da qualidade de vida.

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