[The diabetic foot].

TLDR

Diabetic foot complications arise from peripheral neuropathy and are worsened by peripheral arterial disease, which elevates amputation risk. The study aims to establish a multidisciplinary treatment strategy for diabetic foot ulcers, emphasizing off‑loading, ulcer debridement, glycemic control, and antibiotics. Treatment involves annual monofilament screening, and when osteomyelitis or arterial disease is present, limited bone resection and revascularization are performed respectively.

Abstract

Diabetic patients are concerned with foot complications when a peripheral neuropathy is present. Screening of predisposed patients may be annually assessed using monofilament testing. Peripheral arterial disease, when associated, increases amputation risk. Ideal treatment requires a multidisciplinary approach with a first-line medical treatment including an optimal off-loading of the diabetic ulcer, ulcer dertersion, glycemic control, and if necessary antibiotic therapy. In case of associated osteomyelitis, a limited surgical resection of the infected bone may be performed. In case of associated arterial disease, a revascularization procedure precede bone resection.