Management of Diabetic Foot Ulcers



Management of Diabetic Foot Ulcers


Rahim Nazerali





ANATOMY



  • Resembles laceration, puncture, or blister with round or oblong shape.


  • May be necrotic, pink, or pale with well-defined smooth edges.


  • Periwound often presents with callus.


PATHOGENESIS



  • Origin and development have several components.


  • Thirty-two unique casual pathways for developing foot ulcers.2



    • Peripheral neuropathy, structural foot problems, and minor trauma are present in the majority (63%).


    • Other less prevalent causes include edema, callus, and peripheral ischemia.


  • Major common pathways involve pressure/trauma, ischemia/hypoxia, infection, cellular failure, and chronic inflammation.


NATURAL HISTORY



  • 12.5% individuals with diabetes will develop lower extremity ulceration.3


PATIENT HISTORY AND PHYSICAL FINDINGS

Nov 24, 2019 | Posted by in Aesthetic plastic surgery | Comments Off on Management of Diabetic Foot Ulcers
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