The Diabetic Foot: Difference between revisions
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== Introduction<br> == | == Introduction<br> == | ||
Complications in the diabetic foot is mostly caused by a triad of ischemia, [http://www.physio-pedia.com/Diabetic_Neuropathy Diabetic Neuropathy], and infection. <ref name="L1">Lepäntaloa M, Apelqvistc J, Setaccie C, Riccof JB, de Donatoe G, Beckerg F, Robert-Ebadig H, Caoh P, Ecksteini HH, De Rangok P, Diehml N. Chapter V: Diabetic Foot. European Journal of Vascular and Endovascular Surgery. 2011;42(S2):S60-74. http://www.angiologiaparaclinicos.com/wp-content/uploads/2013/10/Chapter-V-Diabetic-Foot.pdf (Accessed March 2017)</ref><br> | Complications in the diabetic foot is mostly caused by a triad of ischemia, [http://www.physio-pedia.com/Diabetic_Neuropathy Diabetic Neuropathy], and infection. <ref name="L1">Lepäntaloa M, Apelqvistc J, Setaccie C, Riccof JB, de Donatoe G, Beckerg F, Robert-Ebadig H, Caoh P, Ecksteini HH, De Rangok P, Diehml N. Chapter V: Diabetic Foot. European Journal of Vascular and Endovascular Surgery. 2011;42(S2):S60-74. http://www.angiologiaparaclinicos.com/wp-content/uploads/2013/10/Chapter-V-Diabetic-Foot.pdf (Accessed March 2017)</ref><br> | ||
Statistics about the impact of diabetic foot complications:<ref name="L1" /> | |||
*Foot ulcer complications are the main reason why people with diabetes are hospitalized and have to undergo amputations. | *Foot ulcer complications are the main reason why people with diabetes are hospitalized and have to undergo amputations. | ||
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*5-8% of patients will undergo a major amputation 1 year after developing a diabetic ulcer. | *5-8% of patients will undergo a major amputation 1 year after developing a diabetic ulcer. | ||
*A foot ulcer preceded 85% of diabetes related amputations. | *A foot ulcer preceded 85% of diabetes related amputations. | ||
*“Diabetes increases the risk of amputation 8-fold in patients aged >45 years,8 12-fold in patients aged>65 years and 23-fold in those aged 65––74 years.” | *“Diabetes increases the risk of amputation 8-fold in patients aged >45 years,8 12-fold in patients aged>65 years and 23-fold in those aged 65––74 years.”<br> | ||
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More information on Diabetes are available from these links: [http://www.physio-pedia.com/Diabetes_Mellitus_Type_2 DM Type 2] and [https://www.google.com/url?q=http://www.physio-pedia.com/Diabetes_Mellitus_Type_1&sa=U&ved=0ahUKEwil4oKywejSAhUpjlQKHQGSDzAQFggEMAA&client=internal-uds-cse&usg=AFQjCNF3CQcljj15JiG3agD9xJmlfoDExg DM Type 1], [http://www.physio-pedia.com/Diabetes Diabetes]<br> | More information on Diabetes are available from these links: [http://www.physio-pedia.com/Diabetes_Mellitus_Type_2 DM Type 2] and [https://www.google.com/url?q=http://www.physio-pedia.com/Diabetes_Mellitus_Type_1&sa=U&ved=0ahUKEwil4oKywejSAhUpjlQKHQGSDzAQFggEMAA&client=internal-uds-cse&usg=AFQjCNF3CQcljj15JiG3agD9xJmlfoDExg DM Type 1], [http://www.physio-pedia.com/Diabetes Diabetes]<br> | ||
Revision as of 23:21, 21 March 2017
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Introduction
[edit | edit source]
Complications in the diabetic foot is mostly caused by a triad of ischemia, Diabetic Neuropathy, and infection. [1]
Statistics about the impact of diabetic foot complications:[1]
- Foot ulcer complications are the main reason why people with diabetes are hospitalized and have to undergo amputations.
- 20-40% of all the health care costs comprised for diabetes are for diabetic foot complications
- 7-10% of patients with diabetes and neuropathy will develop an ulcer; this increases up to 30% for patients with diabetes and other comorbidities.
- 5-8% of patients will undergo a major amputation 1 year after developing a diabetic ulcer.
- A foot ulcer preceded 85% of diabetes related amputations.
- “Diabetes increases the risk of amputation 8-fold in patients aged >45 years,8 12-fold in patients aged>65 years and 23-fold in those aged 65––74 years.”
More information on Diabetes are available from these links: DM Type 2 and DM Type 1, Diabetes
Specific Foot Conditions
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Diabetic Foot Ulcers[edit | edit source]
Diabetes Mellitus and Diabetic Ulcers
Diabetic Foot (Charcot foot/joint)[edit | edit source]
Also known as Charcot-Marie-Tooth Disease or Diabetic foot arthropathy.
More information available from Charcot-Marie-Tooth Disease - NHS Choices (2012).
Diabetic Foot Infections[edit | edit source]
Diabetic Delayed Wound Healing[edit | edit source]
Clinically Relevant Anatomy
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add text here relating to clinically relevant anatomy of the condition
Mechanism of Injury / Pathological Process
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add text here relating to the mechanism of injury and/or pathology of the condition
Clinical Presentation[edit | edit source]
add text here relating to the clinical presentation of the condition
Assessment[edit | edit source]
Diabetic foot/stump assessment form
Outcome Measures[edit | edit source]
add links to outcome measures here (see Outcome Measures Database)
Management / Interventions
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More information available from the following links:
- Diabetes Medical and Physical Therapy Management
- Charcot Foot Medical Management
- Charcot Foot Physical Therapy Managment
- Charcot Foot Medical and Physical Therapy Management
- Diabetic Neuropathy Management/Intervention
Differential Diagnosis
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add text here relating to the differential diagnosis of this condition
Key Evidence[edit | edit source]
add text here relating to key evidence with regards to any of the above headings
Resources
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add appropriate resources here
Case Studies[edit | edit source]
- Amputation secondary to Diabetes Mellitus: Amputee Case Study
- A 35 year old diabetic Aboriginal women, who underwent a right transtibial amputation for diabetic foot ulcer and completed prosthetic rehabilitation.
- Diabetic patient amputation: Amputee Case Study
- Diabetic complications leading to amputation: Amputee Case Report
- Diabetic Patient with Bilateral Amputations : Amputee Case Study
- The Young, Diabetic Amputee: Amputee Case Study
- Bilateral Below Knee Amputation due to Diabetic Complications: Amputee Case Study
- Lower Limb Amputation: Diabetic Case Presentation: Amputee Case Study
- Older Diabetic Amputee with slow healing: Amputee Case Study
- A case study of a diabetic elderly amputee patient
Follow this link to read more case studies.
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 1.0 1.1 Lepäntaloa M, Apelqvistc J, Setaccie C, Riccof JB, de Donatoe G, Beckerg F, Robert-Ebadig H, Caoh P, Ecksteini HH, De Rangok P, Diehml N. Chapter V: Diabetic Foot. European Journal of Vascular and Endovascular Surgery. 2011;42(S2):S60-74. http://www.angiologiaparaclinicos.com/wp-content/uploads/2013/10/Chapter-V-Diabetic-Foot.pdf (Accessed March 2017)
- ↑ Youtube Video: The Diabetic Foot Exam https://youtu.be/aVz-Ja9Grvg
