Author:
Al-Subai Reem,M. Al-Emadi Reema,Aljohary Hesham,Murad Musab
Abstract
This chapter aims to explore the clinical features and effective management strategies for diabetic foot ulcers (DFUs), which, if not appropriately treated, can lead to serious consequences and ultimately require amputation. It is crucial to adopt a comprehensive approach that encompasses accurate diagnosis and effective treatment plans. These ulcers have a multifactorial etiology and a wide range of clinical features that can be attributed to the ulcers themselves, the underlying causes contributing to their development, or their complications, particularly infections. However, timely and accurate diagnosis can be challenging due to a lack of sensation, making risk factor assessments and severity assessments through various classification systems necessary. Managing DFUs effectively requires a multidisciplinary approach that includes optimum glycemic control, performing wound debridement, relieving pressure from the affected area, controlling infections, and utilizing appropriate dressings.
Reference77 articles.
1. Oliver TI, Mutluoglu M. Diabetic foot ulcer. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 8 Aug 2023. pp. 2-15. PMID: 30726013
2. Wexler DJ. Evaluation of the diabetic foot. In: UptoDate. 2023
3. Del Core MA, Ahn J, Lewis RB, Raspovic KM, Lalli TA, Wukich DK. The evaluation and treatment of diabetic foot ulcers and diabetic foot infections. Foot and Ankle Orthopaedics. 2018;(3):247301141878886. DOI: 10.1177/2473011418788864
4. Reiber GE, Vileikyte L, Boyko EJ, del Aguila M, Smith DG, Lavery LA, et al. Causal pathways for incident lower-extremity ulcers in patients with diabetes from two settings. Diabetes Care. 1999;:157-162
5. Cheuy VA, Hastings MK, Mueller MJ. Metatarsophalangeal hyperextension movement pattern related to diabetic forefoot deformity. Physical Therapy. 2016;:1143-1151