Current concepts for the evaluation and management of diabetic foot ulcers

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 amputatio...

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Bibliographic Details
Published in:EFORT Open Reviews 2018-09, Vol.3 (9), p.513-525
Main Authors: Mavrogenis, Andreas F, Megaloikonomos, Panayiotis D, Antoniadou, Thekla, Igoumenou, Vasilios G, Panagopoulos, Georgios N, Dimopoulos, Leonidas, Moulakakis, Konstantinos G, Sfyroeras, George S, Lazaris, Andreas
Format: Article
Language:English
Subjects:
Amputation
Diabetes
Diabetes mellitus
Diabetic Foot Ulcers
Feet
Foot & Ankle
Foot diseases
Glucose
Infection
Ischemia
Osteomyelitis
Revascularization
Risk groups
Ulcers
Wound Dressings
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Summary: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: 2018;3:513-525. DOI: 10.1302/2058-5241.3.180010.
ISSN:2058-5241
2396-7544
2058-5241
DOI:10.1302/2058-5241.3.180010