Imaging in the Patient with Foot Complications
Figure 6.1 (a) Resorptive change is seen affecting the proximal and middle phalanges of the fifth toe with focal lucency at the base of the proximal phalanx of the second…
ENDOCRINOLOGY
Cardiovascular Risks in People with Diabetes Foot Complications
Figure 13.1 The patient with obvious cardiovascular risks How to Tackle These Issues: Putting CV Risk Management at the Forefront of Diabetes Foot Care The paradigm shift needed for CV…
Amputation Above the Ankle: Achieving the Best Outcome for the Patient
Figure 10.1 Gastronemius muscle being placed below the tibialis anterior muscle flap (with its vascular pedicle) Knee Disarticulation Knee disarticulation is usually the preferred option, when compared to a transfemoral…
Emergency Management of the Acute Diabetic Foot
Figure 3.1 Treatment pathway outlining key stages and time base in which they should be achieved. PAD peripheral arterial disease, CV cardiovascular Immediate Care Initial Assessment When assessing any patient…
The Role of the Multidisciplinary Team in the Management of Diabetic Foot Complications
Figure 16.1 A typical foot attack The management of a foot attack requires the knowledge and skills of a diverse range of specialities and disciplines to provide optimal care and…
Foot Deformity and Pressure Management in the Diabetic Foot
Figure 15.1 Pressure reduction by commonly used off-loading footwear (Modified from Cavanagh and Bus [1]) Efficiency of footwear in off-loading correlates directly with ulcer healing rates and the duration to…
The Role of the Orthopaedic Surgeon in Diabetic Foot Complications
Figure 12.1 (a) Charcot changes in the tarso-metatarsal joints with subluxation of the lateral four rays, going laterally, so that the space between the first and second metatarsals is increased…
Screening and Treatment of Early Complications in the Diabetic Foot
Figure 2.1 Diagram illustrating the relationship and function of the teams responsible for providing care to people with diabetes and foot complications Multi-disciplinary team (MDT) management is essential to ensure…
Surgical Revascularisation of the Diabetic Foot
Figure 9.1 Pathway for revascularisation of the diabetic foot Choice of Bypass Conduit There are three choices when considering a conduit for bypass surgery. By far the superior choice is…
Treatment of Infection in the Diabetic Foot: The Use of Antibiotics
Infection severity Probable pathogen(s) Antibiotic agent Comments Mild (usually treated with oral agent[s]) Staphylococcus aureus (MSSA); Streptococcus spp. Dicloxacillin Requires QID dosing; narrow-spectrum; inexpensive Clindamycinb Usually active against community-associated MRSA,…
