Diabetic foot disease afflicts nearly two million Americans and is the main cause of hospitalization for the diabetic patient, representing a substantial financial burden on both the health-care system and society-at-large. In The Diabetic Foot: Medical and Surgical Management, a distinguished panel of clinicians-many practicing at the famous Joslin-Beth Israel Deaconess Foot Center-illuminate the successful new multidisciplinary approach now clearly required for the successful treatment of this medical problem. Drawing on the experiences of diabetologists, podiatrists, vascular surgeons, infectious disease specialists, orthotists, and plastic and orthopedic surgeons, the book clearly describes established techniques known to be effective. Also highlighted are the many emerging treatments that will affect diabetic foot care in the years ahead, including a new understanding of wound-healing pathophysiology and the recent introduction of growth factors and living skin equivalents. Throughout, the emphasis is on the prevention of foot ulceration and its management using a multidisciplinary approach.
Comprehensive and highly practical, The Diabetic Foot: Medical and Surgical Management will help all members of the diabetic foot treatment team not only to more fully understand the relevant pathophysiology, but also to prepare state-of-the-art treatment plans for diabetic patients with foot problems or at risk for developing them.

Klappentext

In The Diabetic Foot: Medical and Surgical Management, a distinguished panel of clinicians-many practicing at the famous Joslin-Beth Israel Deaconess Foot Center-illuminate the successful new multidisciplinary approach now clearly required for the successful treatment of this medical problem. Drawing on the experiences of diabetologists, podiatrists, vascular surgeons, infectious disease specialists, orthotists, plastic and orthopedic surgeons, the book clearly describes established techniques known to be effective. Also highlighted are the many emerging treatments that will affect diabetic foot care in the years ahead, including a new understanding of wound-healing pathophysiology and the recent introduction of growth factors and living skin equivalents.

Inhalt

Introduction to Diabetes: Principles of Care in the Surgical Patient with Diabetes Peter Sheehan Epidemiology and Health Care Costs of Diabetic Foot Problems Gayle E. Reiber Physiology and Pathophysiology of Wound Healing Vincent Falanga Diabetic Polyneuropathy Solomon Tesfaye Microvascular Changes in the Diabetic Foot Cameron M. Akbari and Frank W. LoGerfo Clinical Features and Diagnosis of Macrovascular Disease Nikhil Kansal and Allen Hamdan Foot Pressure Abnormalities in the Diabetic Foot Thomas E. Lyons, Jeremy Rich, and Aristidis Veves Biomechanics of the Diabetic Foot: The Road to Foot Ulceration Carine H.M. van Schie and Andrew J.M. Boulton Clinical Examination of the Diabetic Foot and Identification of the At-Risk Patient David G. Armstrong, Edward Jude, Andrew J.M. Boulton, and Lawrence B. Harkless Radiographic Changes of the Diabetic Foot Yvonne Cheung, Mary Hochman, and David P. Brophy Microbiology and Treatment of Diabetic Foot Infections Adolf W. Karchmer Charcot Changes in the Diabetic Foot Robert G. Frykberg Principles of Treatment of the Chronic Wound Joseph E. Grey, Vanessa Jones, and Keith G. Harding Local Care of the Diabetic Foot Philip Basile and Barry I. Rosenblum Surgical Treatment of the Ulcerated Foot John M. Giurini Amputations and Rehabilitation Ronald A. Sage, Michael Pinzur, Rodney Stuck, and Coleen Napolitano Reconstruction of Soft Tissue Defects of the Foot Nancy Falco Chedid Growth Factors in the Treatment of Diabetic Foot Ulceration David L. Steed Living Skin Equivalents for Diabetic Foot Ulcers Hau T. Pham, Thanh L. Dinh, and Aristidis Veves Vascular Surgery for the Diabetic Foot Frank B. Pomposelli, Jr. and David R. Campbell Angioplasty and Other Noninvasive Surgical Procedures David P. Brophy Footwear in the Prevention of Diabetic Foot Problems Luigi Uccioli