The Diabetic Foot

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Introduction

Complications in the diabetic foot is mostly caused by a triad of ischemia, Diabetic Neuropathy, and infection.

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Statistics about the impact of diabetic foot complications:

• 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.”
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More information on Diabetes are available from these links: DM Type 2 and DM Type 1, Diabetes

Specific Foot Conditions

Diabetic Foot Ulcers

Diabetes Mellitus and Diabetic Ulcers

Diabetic Foot (Charcot foot/joint)

Also known as Charcot-Marie-Tooth Disease or Diabetic foot arthropathy.

More information available from  Charcot-Marie-Tooth Disease - NHS Choices (2012).

Clinically Relevant Anatomy

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Mechanism of Injury / Pathological Process

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Clinical Presentation

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Assessment

Diabetic foot/stump assessment form

 

Outcome Measures

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Management / Interventions

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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Key Evidence

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Resources

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Case Studies

• 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.

References

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