Abstract
Diabetes is a frequent cause of foot and ankle pathology. Neuropathy can result in loss of protective sensation with collapse and destruction of articular surfaces. Infections are common complicating factors and conservative treatments are preferred.
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Keywords
What is the most etiology of diabetic foot ulcers? | Peripheral neuropathy |
What test is more sensitive than light touch or two-point discrimination for determining loss of protective sensation? | Semmes-Weinstein 5.07 monofilament |
What are some radiographic findings of Charcot foot ? | Osteopenia, sclerosis, fragmentation, joint collapse, and destruction |
What ABI is needed to ensure adequate vascular health for healing? | 30–40 mmHg in toes and >70 mmHg at the ankle |
What classification system is used to grade ulcers? | Wagner : 0—At risk, skin intact; 1—Superficial; 2—Deep without infection; 3—Deep infection; 4—Gangrene distal to midfoot; 5—Proximal gangrene |
What are the most common infectious organisms? | Staph and strep species |
Why should anaerobic antibiotic coverage be considered? | 1/3 of infected diabetic feet have positive anaerobic cultures |
What is the primary treatment when no infection is present? | Total contact casting, frequent re-evaluation and skin checks |
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O’Donnell, S.W., Blankenhorn, B.D. (2018). Diabetic Foot. In: Eltorai, A., Eberson, C., Daniels, A. (eds) Essential Orthopedic Review. Springer, Cham. https://doi.org/10.1007/978-3-319-78387-1_89
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DOI: https://doi.org/10.1007/978-3-319-78387-1_89
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-319-78387-1
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