Figure 5.1 The Semmes-Weinstein monofilament used to check foot skin sensation. The open circles indicate areas tested The biothesiometer (or neurothesiometer) is a simple handheld device that gives semi-quantitative assessment…
Figure 14.1 Clear diabetic foot pathway as per NICE CG 10 Figure 14.2 Hub and spoke structure of care With scare resources, the MDT, using images from primary care, can…
Figure 8.1 Reconstructed MRA images demonstrating the typical combination of SFA and infra-geniculate disease found in diabetic PAD. (a) Bilateral SFA occlusions with collateral reconstitution of the popliteal artery (arrow)….
Figure 11.1 Inflammation of the foot and lower leg in the acute phase of Charcot foot (left). Residual deformity apparent in the same leg after the swelling has regressed (right)…
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…
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…
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…
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…
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…
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…
