Current concepts for the evaluation and management of diabetic foot ulcers

被引：77

作者：

Mavrogenis, Andreas F. ^{[1
]}

Megaloikonomos, Panayiotis D. ^{[1
]}

Antoniadou, Thekla ^{[1
]}

Igoumenou, Vasilios G. ^{[1
]}

Panagopoulos, Georgios N. ^{[1
]}

Dimopoulos, Leonidas ^{[1
]}

Moulakakis, Konstantinos G. ^{[2
]}

Sfyroeras, George S. ^{[2
]}

Lazaris, Andreas ^{[2
]}

机构：

[1] Natl & Kapodistrian Univ Athens, Dept Orthopaed 1, Sch Med, ATTIKON Univ Hosp, 41 Ventouri St, Athens 15562, Greece

[2] Natl & Kapodistrian Univ Athens, Dept Vasc Surg, Sch Med, ATTIKON Univ Hosp, Athens, Greece

来源：

EFORT OPEN REVIEWS | 2018年 / 3卷 / 09期

关键词：

diabetic foot ulcers; infection; osteomyelitis; revascularization; wound dressings; COLONY-STIMULATING FACTOR; PLATELET-RICH PLASMA; PERIPHERAL ARTERIAL-DISEASE; PRESSURE WOUND THERAPY; CRITICAL LIMB ISCHEMIA; IWGDF GUIDANCE; CLINICAL EFFECTIVENESS; MUSCLE WEAKNESS; PREVENTION; INFECTIONS;

D O I：

10.1302/2058-5241.3.180010

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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 DEW must include clinical awareness, adequate blood glucose control, periodic foot inspection, custom therapeutic footwear, offloading in high-risk patients, local wound care, diagnosis and control of osteomyelitis and ischaemia.

引用

页码：513 / 525

页数：13

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