Surgical off-loading of the diabetic foot

Surgical intervention for chronic deformities and ulcerations has become an important component in the management of patients with diabetes mellitus. These patients are no longer relegated to wearing cumbersome braces or footwear for deformities that might otherwise be easily corrected. Although sur...

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Bibliographic Details
Published in:Journal of vascular surgery 2010-09, Vol.52 (3), p.44S-58S
Main Authors: Frykberg, Robert G., DPM, MPH, Bevilacqua, Nicholas J., DPM, Habershaw, Geoffrey, DPM
Format: Article
Language:English
Subjects:
Decompression, Surgical - adverse effects
Diabetic Foot - physiopathology
Diabetic Foot - surgery
Humans
Orthopedic Procedures - adverse effects
Patient Selection
Pressure
Risk Assessment
Surgery
Treatment Outcome
Weight-Bearing
Wound Healing
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Summary:Surgical intervention for chronic deformities and ulcerations has become an important component in the management of patients with diabetes mellitus. These patients are no longer relegated to wearing cumbersome braces or footwear for deformities that might otherwise be easily corrected. Although surgical intervention in these often high-risk individuals is not without risk, the outcomes are fairly predictable when patients are properly selected and evaluated. In this brief review, we discuss the rationale and indications for diabetic foot surgery, focusing on the surgical decompression of deformities that frequently lead to foot ulcers.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2010.06.008