Vascular Surgery

Vascular Surgery

A Clinical Guide to Decision-making
2022, Pages 253-260
Vascular Surgery

Chapter 22 - Management of the diabetic arteriopathy and diabetic foot

https://doi.org/10.1016/B978-0-12-822113-6.00026-7Get rights and content

Abstract

Foot ulcers are common complications in patients with diabetes. People with diabetes are 20 times more susceptible to lower extremity amputation than people without diabetes as a result of foot complications. Effective management of foot complications in a diabetic patient requires a multidisciplinary approach involving diabetologists, vascular surgeons, podiatrists, nurses with expertise in advanced wound management, general surgeons, orthopedic specialists, and infectious disease specialists. The aim of a multidisciplinary diabetic foot program is to reduce the number of major amputations. The rate of lower extremity amputations and its trends over the years have been considered the marker of the quality of foot care in diabetes. Several changes in the daily practices are necessary to obtain reduced lower extremity amputations in diabetic patients. Armstrong et al. demonstrated that establishing an integrated multidisciplinary diabetic foot program impacts surgery type and changes the surgical volumes.

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