ABSTRACT
Diabetic foot syndrome is the leading cause of lower limb amputation in Poland. Diabetic polyneuropathy is a main risk factor of diabetic foot. Deformity, peripheral artery disease, minor trauma, previous foot wound, and/or a prior amputation are the others. The critical triad most commonly seen in patients with diabetic foot ulcers: peripheral sensory neuropathy, deformity, and trauma. Successful treatment of diabetic foot ulcers, constantly for years, consists of three basic issues: debridement, offloading, and infection control. Proper diabetes management and careful foot care can help prevent foot ulcers and reduce the risk of amputation.

Keywords: diabetes, diabetic foot, diabetic ulcer, osteomyelitis, polyneuropathy.

Zdjęcia: autorów – archiwum prywatne (2), rycin – archiwum prywatne (3)

Piśmiennictwo

1. Jørgensen ME, Almdal TP and Færch K. Reduced incidence of lower-extremity amputations in a Danish diabetes population from 2000 to 2011 Diabet 31, 443-447 (2014)

2. Santosa F, Moysidis T, Kanya S, Babadagi-Hardt Z, Luther B, Kröger K. Decrease in major amputations in Germany. Int Wound J. 2015 Jun;12(3):276-9

3. Czeleko T, Śliwczyński A, Radziewicz-Winnicki I, Marczak M i wsp. Występowanie dużych amputacji kończyn dolnych w przebiegu cukrzycy w Polsce w latach 2009-2012, na podstawie bazy danych Narodowego Funduszu Zdrowia Medycyna Metaboliczna, 2013, tom XVII, nr 3 20-26

4. Zalecenia Kliniczne dotyczące postępowania u chorych na cukrzycę 2016 Diabetologia Kliniczna, tom 5 supl. A

5. Sieradzki J, Koblik T Zespół Stopy Cukrzycowej, VM Media Sp. z o.o., 2008

6. Moulik P, K, Mtonga R, Gill GV, Amputation and Mortality in New-Onset Diabetic Foot Ulcers Stratified by Etiology Diabetes Care 26:491-494, 2003

7. Iversen MM, Tell GS, Riise T i wsp. History of Foot Ulcer Increases Mortality Among Individuals With Diabetes Diabetes Care 32:2193-99, 2009

8. Clayton W, Elasy TA A Review of the Pathophysiology, Classification, and Treatment of Foot Ulcers in Diabetic Patients Clinical Diabetes 27, 2:52-58, 2009

9. Andrew J. M. Boulton The diabetic foot: grand overview, epidemiology and pathogenesis Diabetes Metab Res Rev 2008; 24(Suppl 1): S3-S6

10. Boyko EJ, Ahroni JH, Cohen V, Nelson KM I wsp. Prediction of Diabetic Foot Ulcer Occurrence Using Commonly Available Clinical Information Diabetes Care 29:1202-7, 2006

11. Plank J, Haas W, Rakovac I, Gorzer E i wsp. Evaluation of the Impact of Chiropodist Care in the Secondary Prevention of Foot Ulcerations in Diabetic Subjects Diabetes Care 26:1691-5, 2003

12. Armstrong DG, Lavery LA, Nixon BP, Boulton AJ. M. It’s Not What You Put On, but What You Take Off: Techniques for Debriding and Off-Loading the Diabetic Foot Wound Clinical Infectious Diseases 2004;39:S92-9

13. Berendt AR, Peters EJG, Bakker K, Embil JM, Eneroth M i wsp. Diabetic foot osteomyelitis: a progress report on diagnosis and a systematic review of treatment Diabetes Metab Res Rev 2008; 24(Suppl 1):S145-S161

Do góry