Open AccessCurrent concepts for the evaluation and management of diabetic foot ulcers
Author(s) -
Andreas F. Mavrogenis,
Panayiotis D. Megaloikonomos,
Thekla Antoniadou,
Vasilios G. Igoumenou,
Georgios N. Panagopoulos,
Leonidas Dimopoulos,
Konstantinos G. Moulakakis,
George S. Sfyroeras,
Andreas Lazaris
Publication year - 2018
Publication title -
efort open reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.588
H-Index - 22
ISSN - 2396-7544
DOI - 10.1302/2058-5241.3.180010
Subject(s) - amputation , medicine , diabetic foot , diabetes mellitus , osteomyelitis , diabetic foot ulcer , diabetic ulcers , surgery , foot (prosody) , wound care , intensive care medicine , linguistics , philosophy , endocrinology
The lifetime risk for diabetic patients to develop a diabetic foot ulcer (DFU) is 25%. In these patients, the risk of amputation is increased and the outcome deteriorates. More than 50% of non-traumatic lower-extremity amputations are related to DFU infections and 85% of all lower-extremity amputations in patients with diabetes are preceded by an ulcer; up to 70% of diabetic patients with a DFU-related amputation die within five years of their amputation. Optimal management of patients with DFUs must include clinical awareness, adequate blood glucose control, periodic foot inspection, custom therapeutic footwear, off-loading in high-risk patients, local wound care, diagnosis and control of osteomyelitis and ischaemia. Cite this article: EFORT Open Rev 2018;3:513-525. DOI: 10.1302/2058-5241.3.180010