The Diabetic Foot: Medical and Surgical Management

Description

Diabetic foot disease afflicts nearly two million Americans and is the main cause of hospitalization for the diabetic patient, representing a substantial financial burden on both the health-care system and society-at-large. In The Diabetic Foot: Medical and Surgical Management, a distinguished panel of clinicians-many practicing at the famous Joslin-Beth Israel Deaconess Foot Center-illuminate the successful new multidisciplinary approach now clearly required for the successful treatment of this medical problem. Drawing on the experiences of diabetologists, podiatrists, vascular surgeons, infectious disease specialists, orthotists, and plastic and orthopedic surgeons, the book clearly describes established techniques known to be effective. Also highlighted are the many emerging treatments that will affect diabetic foot care in the years ahead, including a new understanding of wound-healing pathophysiology and the recent introduction of growth factors and living skin equivalents. Throughout, the emphasis is on the prevention of foot ulceration and its management using a multidisciplinary approach. Comprehensive and highly practical, The Diabetic Foot: Medical and Surgical Management will help all members of the diabetic foot treatment team not only to more fully understand the relevant pathophysiology, but also to prepare state-of-the-art treatment plans for diabetic patients with foot problems or at risk for developing them. Front Matter....Pages i-xiii Introduction to Diabetes....Pages 1-34 Epidemiology and Health Care Costs of Diabetic Foot Problems....Pages 35-58 Physiology and Pathophysiology of Wound Healing....Pages 59-73 Diabetic Polyneuropathy....Pages 75-98 Microvascular Changes in the Diabetic Foot....Pages 99-112 Clinical Features and Diagnosis of Macrovascular Disease....Pages 113-125 Foot Pressure Abnormalities in the Diabetic Foot....Pages 127-146 Biomechanics of the Diabetic Foot: The Road to Foot Ulceration ....Pages 147-161 Clinical Examination of the Diabetic Foot and Identification of the At-Risk Patient....Pages 163-178 Radiographic Changes of the Diabetic Foot....Pages 179-205 Microbiology and Treatment of Diabetic Foot Infections....Pages 207-219 Charcot Changes in the Diabetic Foot....Pages 221-246 Principles of Treatment of the Chronic Wound....Pages 247-278 Local Care of the Diabetic Foot....Pages 279-291 Surgical Treatment of the Ulcerated Foot....Pages 293-315 Amputations and Rehabilitation....Pages 317-344 Reconstruction of Soft Tissue Defects of the Foot....Pages 345-384 Role of Growth Factors in the Treatment of Diabetic Foot Ulceration....Pages 385-395 Living Skin Equivalents for Diabetic Foot Ulcers....Pages 397-410 Vascular Surgery for the Diabetic Foot....Pages 411-428 Angioplasty and Other Noninvasive Surgical Procedures....Pages 429-444 Footwear in the Prevention of Diabetic Foot Problems....Pages 445-461 Back Matter....Pages 463-475