The Etiopathogenesis of the Diabetic Foot: An Unrelenting Epidemic

Gupta, Sanjeev Kumar; Panda, Sucheta; Singh, Surya Kumar

doi:10.1177/1534734610380029

Cited by 14 publications

(6 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, peripheral nerve dysfunction often gets associated with peripheral arterial disease leading to the deficient blood supply to the limbs, a condition known as diabetic angiopathy, which may also cause diabetic foot. Therefore, the diabetic foot can be neuropathic, neuro-ischemic, or ischemic alone [ 6 , 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Correlation of Hemoglobin A1c With Wagner Classification in Patients With Diabetic Foot

Farooque

Lohano

Rind

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Correlation of Hemoglobin A1c With Wagner Classification in Patients With Diabetic Foot

Farooque

Lohano

Rind

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…Patients at Wagner grade 1-2 had relatively mild foot problem so as the amputation rate was low and prognosis was good. However, patients at Wagner grade 3-5 suffered from more severe condition as well as high amputation risk and great harm [ 2 , 3 ]. According to their Wagner grades, we analyzed the amputation rate of DFU patients.…”

Section: Discussionmentioning

confidence: 99%

“…It is the most common cause of nontraumatic foot amputation worldwide. Approximately 20 % of those cases require amputation [ 2 , 3 ]. DFUs are complex, chronic wounds, which have a major long-term impact on the morbidity, mortality and quality of patients’ lives.…”

Section: Introductionmentioning

confidence: 99%

Reducing major lower extremity amputations after the introduction of a multidisciplinary team in patient with diabetes foot ulcer

et al. 2016

View full text Add to dashboard Cite

BackgroundDiabetic foot ulceration is receiving more attention because of its high amputation and mortality rate. It is essential to establish the frequency of amputations in people with diabetes after any change to the management of diabetic foot care. The present study aim to compare the frequency of lower-extremity amputations in patients with diabetes foot ulcer over a ten-year period.MethodsSix hundred forty eight patients with diabetes foot ulcer were retrospectively studied from 2004 to 2013. The clinical features, laboratory results and the lower-extremity amputations were recorded. Major amputation was defined as amputations above the ankle while minor amputation was amputations below the ankle in the present study.ResultsPatients with diabetic foot ulcer were old (age 66.96 ± 11.96 years), with a long duration of diabetes (10.30 ± 6.94 years), high HbA1c (9.19 ± 2.62 %), SBP (144.05 ± 24.18 mmHg), DBP (79.53 ± 11.88 mmHg), LDL-C (2.71 ± 0.93 mmol/L) and had great frequency of neuropathy (62.7 %), retinopathy (45.0 %), nephropathy (39.5 %) and PAD (33.2 %). From 2004 to 2013, the frequency of all lower-extremity amputations is 12.0 % (5.2 % major amputation, 6.8 % minor amputation). The frequency of major amputations decreased from 9.5 % in 2004 and 14.5 % in 2005 to less than 5.0 % after 2006. In particular, there was a significant decline in major amputations of diabetic foot patient with Wagner 3 to 4 wounds. The frequency rate of major amputations in diabetic foot patient with Wagner 3 to 4 wounds fell from 35.7 % in 2004 to 4.4 % after 2007. The change in frequency of minor amputations was fluctuation.ConclusionThis study demonstrates that the introduction of a multidisciplinary team, coordinated by an endocrinologist and a podiatrist, for managing diabetic foot disease is associated with a reduction in the frequency of major amputations in patients with diabetes.

show abstract

“…Diabetic foot ulcer (DFU) has become a new age epidemic. 1 A delay in treatment can cause loss of skin and soft-tissue resulting in extensive wounds. Providing surgical coverage after wound optimization is hence, an important means of limb salvage.…”

Section: Introductionmentioning

confidence: 99%

Skin and soft-tissue coverage for limb salvage in extensive diabetic foot ulcers: An institutional experience

Kiran

Prasad²

2023

Asian J Med Sci

View full text Add to dashboard Cite

Background: Extensive diabetic foot ulcers (DFUs) with skin and soft-tissue defects need prompt coverage of the defect using plastic surgical means. The indication, timing, and techniques of wound coverage in DFUs are not adequately understood by all. Hence, an institutional experience of providing skin and soft-tissue coverage to extensive DFUs is reported. Aims and Objectives: The aims of this study were to study the various types of DFU that needs surgical wound coverage and to understand the types of wound coverage surgeries, their timings, success rates, and final outcomes. Materials and Methods: A retrospective-prospective study of all the DFUs managed using skin and soft-tissue coverage was conducted. Surgical and medical management and their outcomes were studied. Results: Sixteen patients underwent skin graft or flap surgery for their DFU. All the limbs were salvaged and all wounds were covered with two reports of ulcer recurrences. Conclusion: For optimal care of DFUs, the possible need for wound coverage, it’s timing, and aftercare are to be understood by all involved.

show abstract

The Etiopathogenesis of the Diabetic Foot: An Unrelenting Epidemic

Cited by 14 publications

References 27 publications

Correlation of Hemoglobin A1c With Wagner Classification in Patients With Diabetic Foot

Correlation of Hemoglobin A1c With Wagner Classification in Patients With Diabetic Foot

Reducing major lower extremity amputations after the introduction of a multidisciplinary team in patient with diabetes foot ulcer

Skin and soft-tissue coverage for limb salvage in extensive diabetic foot ulcers: An institutional experience

Contact Info

Product

Resources

About