The Diabetic Foot

摘要: Lower extremity complications are common in patients with diabetes and include neuropathy, ulceration, infection, peripheral arterial disease. Foot infections represent the single most cause of hospitalization lower amputation persons diabetes. ulceration as a result diabetic sensory rigid osseous deformities soft-tissue contractures, repetitive trauma from unprotected ambulation, vascular disease can all lead to limb- or life-threatening infection. Antibiotic therapy for is usually inadequate an isolated form therapy. The mainstay treatment involves well-planned surgical procedures, including extensive properly placed incisions perform adequate drainage abscesses debridement necrotic structures which deep cultures obtained specific antibiotic coverage. Initial should provide broad-spectrum coverage, when final culture results available regimen be revised organism-specific Detailed timely evaluation vascularity limb paramount, followed by reconstruction involving various endovascular open procedures restore pulsatile flow full extent limb.