Abstract
Perioperative management of diabetic foot.
Highlights
382 million people, or up to 8.8% of total world population, live with diabetes mellitus (International Diabetes Federation, 2013)
1 amputation is being performed worldwide every 20–30 s, and the vast majority of these amputations are in patients suffering from diabetic foot ulcers (International Diabetes Federation, 2013)
The development of diabetic foot ulcer is promoted by the diabetic polyneuropathy and frequent traumatization of the insensitive foot with further bacterial or fungal contamination of the wound, peripheral arterial occlusive disease, and aggressive artheriosclerosis observed commonly during persistent and poorly controlled hyperglycemia (Vlassara and Striker, 2013)
Summary
382 million people, or up to 8.8% of total world population, live with diabetes mellitus (International Diabetes Federation, 2013). Subluxations, fractures, swelling, and inflammation of soft tissues in combination with reduced sensitivity and loss of pain perception may lead to disruption of skin integrity and development of local infectious and generalized septic complications. A quarter of diabetic foot ulcers eventually result in minor or major amputations of the affected limb.
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