Diabetic Foot (Subscribe)  

A 54-year-old woman with insulin-dependent diabetes mellitus, diabetic neuropathy, neuropathic arthropathy of the feet and a plantar ulcer underwent plain radiography, which showed 2 clipped-off hypodermic needles, of which she had been unaware, in the soft tissue of one foot. This previously unreported complication is clinically instructive in that it...

Lisa Banks Presentation to New York College of Podiatric Medicine Surgical Club

Outpatient percutaneous flexor tenotomies for management of diabetic claw toe deformities with ulcers: a preliminary report E. Tamir, A-M McLaren, A. Gadgil, T.R. Daniels Can J Surg, Vol. 51, No. 1, February 2008
Conclusion: A percutaneous flexor tenotomy with osteoclasis of the proximal interphalangeal joint performed in an outpatient clinic is a...

Lesser toe deformities include, but are not limited to, hammertoes, mallet toes, and claw toes. In people with diabetes, these conditions can create pressure points and lead to callous and ulcer formation. Conservative treatment methods such as extra-depth toe box shoes, pads, inserts, and splints provide mixed results with inevitable...

Surgical stress induces a complex series of hormonal and metabolic changes. These changes predominantly result in enhanced catabolism which may lead to dangerous hyperglycemia and ketosis. Successful management of surgery in persons with diabetes requires simple and safe protocols that should be understood by all staff.
Jean-Marie Ekoé, M.D., FRCPC COFAS Library

The treatment goal for complications of the diabetic foot includes a functional and plantigrade foot for activities of daily living. Successful surgical treatment of the diabetic foot achieves a healed wound with an appropriate balance between residual bone and soft tissue.1 If there is prominent bone with too little healthy...

The term "diabetic foot" is somewhat misleading as this would imply that it is only the foot that suffers from diabetes. In reality, diabetes mellitus, a multi-system disease resulting from altered glycemic control either from a complete absence of insulin production (type 1) or from relative insulin resistance (type 2)....

Osteomyelitis is a common complication in the foot of persons with diabetes, affecting approximately 15% of patients. Acute contiguous focus osteomyelitis is the most commonly observed form of osteomyelitis in the diabetic foot. This review will consider the pathophysiology of the diabetic foot as it relates to radiologic imaging, present...

The foot of the person with diabetes is at risk for trauma because of loss of protective sensation. When this loss of protective sensation is combined with vascular insufficiency and pre-existing or new morphologic abnormalities, serious complications such as skin ulceration, skin and soft tissue infections, osteomyelitis, fractures and Charcot...

It has been well established that persons with diabetes have a greater prevalence and severity of peripheral vascular disease (PVD) than the general population. More than 80% of persons with diabetes for more than 20 years will develop some form of vascular disease and 75% will die as a result...