Diabetic Foot (Subscribe)  

Antimicrobial therapy for diabetic foot infections A practical approach Kevin W. Shea, MD VOL 106 / NO 1 / JULY 1999 / POSTGRADUATE MEDICINE CME learning objectives To identify factors that influence antibiotic selection in the treatment of diabetic foot infections To understand the microbiology of the infected diabetic foot To establish an effective...

From Applied Radiology Radiological Case of the Month Calcaneal Bone Osteomyelitis Posted 08/04/2004 Walter Silbert, MD; Maroun Karam, MD Case Summary A 51-year-old white man with a medical history significant for Type I diabetes mellitus and peripheral vascular disease necessitating multiple prior distal amputations presented with increasing right foot pain. He...

Radiology case 468-821 Clinical presentation: Middle aged insulin dependent diabetic with right ankle swelling and deformity. There is marked soft tissue swelling with fragmentation of the bones, joint destruction, but no reduction in bone density.

Conservative Management of Diabetic Foot Ulcers Complicated by Osteomyelitis from Wounds 2002 NG Yadlapalli, MD, Anand Vaishnav, MD, and Peter Sheehan, MD Abstract Osteomyelitis of the diabetic foot remains a difficult clinical infection, often resulting in disability and amputation. Standard management consists of thorough removal of all infected bone in conjunction with antimicrobial...

Diabetics develop a number of problems with their feet
Infections
Stiff deformities
Peripheral neuropathy
Peripheral vascular disease
Ulceration
Charcot neuropathic arthropathy
The causes of these are linked together.

Diabetic foot ulcers (DFUs) precede 85% of nontraumatic lower extremity amputations (LEAs). Approximately 3-4% of individuals with diabetes currently have foot ulcers or deep infections. Among persons with diabetes, 15% develop foot ulcers during their lifetime. Their risk of LEA increases by a factor of 8 once an ulcer develops....

Diabetes is a systemic disease that affects the vascular, nervous, integumentary and immune systems.
Epidemiology At any one time, 3-4% of patients with DM have a foot ulcer. 15% develop a foot ulcer over their lifetime.
When a foot ulcer develops the chance of going on to amputation increases 8 fold.

Sections on Diabetic Amputations & Diabetic Foot Pathology

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...