Orthopedic Aspects of the Diabetic Foot.

Elvira J A Tijdens-Creusen, Paul C Jutte, Wim M H H Schoumakers, Melanie M Van der Klauw, Marjan Wouthuyzen-Bakker

Journal: Current pharmaceutical design 2019;24(12):1255-1269

PMID: 29595101

Abstract

BACKGROUND

Diabetes Mellitus (DM) is a common medical condition affecting more than 6% of the world population. Besides well-known pathology like diabetic retinopathy and renal insufficiency, it carries important orthopedic implications, especially around the foot and ankle (diabetic foot).

FOCUS

This article focusses on the three major areas confronting the orthopedist: 1) changes in foot statics and biology leading to ulceration with or without osteomyelitis, 2) ankle fractures, particularly complications after a fracture and 3) Charcot foot. Their pathophysiology, clinical features, classification, diagnostic dilemmas and treatment options are discussed.

CONCLUSION

DM is very common and is often associated with foot problems. Diabetic foot is a special condition that needs special attention. This article aims to provide the necessary knowledge to a better understanding and treatment of the diabetic foot.

Address: Department of Orthopaedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.; Department of Endocrinology and Internal Medicine, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.; Department of Medical Microbiology and Infection Prevention, Infectious Diseases, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.

DOI: 10.2174/1381612824666180328120347

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https://medlineplus.gov/diabeticfoot.html

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MeSH Terms: Diabetic Foot, Humans, Orthopedics