Clinical Care of the Diabetic Foot

SYNOPSIS

Illuminates an often overlooked but vitally important area of diabetes management and suggests strategies to help clinicians provide state-of-the-art foot care. Health care professionals and students alike will find practical advice on detecting and managing diabetes-related foot complications.

TABLE OF CONTENTS

Preface v

1 Pathogenesis of Diabetic Foot Complications Andrew J. M. Boulton 1

2 The Comprehensive Diabetic Foot Examination and Risk Assessment Andrew J. M. Boulton 8

3 Shoes and Insoles for At-Risk People with Diabetes Jan S. Ulbrecht Peter R. Cavanagh 17

4 Ulcer Assessment and Classification Nicolaas C. Schaper 28

5 Offloading the Diabetic Foot Wound Stephanie C. Wu David G. Armstrong 35

6 Debridement of the Diabetic Foot Christopher E. Attinger John S. Steinberg Andrew J. Meyr 49

7 Adjunctive Wound Therapies Robert Kirsner Paul E. Banwell Julia Escandon 61

8 Dressings and Local Wound Care for People with Diabetic Foot Wounds Diane L. Krasner R. Gary Sibbald 69

9 The Diabetic Charcot Foot: Recognition, Evaluation, and Management Lee J. Sanders Robert G. Frykberg Lee C. Rogers 79

10 Infection in the Diabetic Foot Anthony R. Berendt Benjamin A. Lipsky 97

11 Evaluation and Management of Peripheral Arterial Disease Joseph L. Mills 107

12 Interdisciplinary Team Approach to Targeted Diabetic Foot Care Manish Bharara Ryan Fitzgerald Timothy Fisher Joseph L. Mills David G. Armstrong 117

Index 125

Author Profiles

David G. Armstrong DPM, MD, PhD, is an international expert on the diabetic foot and wound care. He is professor of surgery at the University of Arizona College of Medicine in Tucson, Arizona, and the director of the Southern Arizona Limb Salvage Alliance.

Lawrence A. Lavery, DPM, MPH, is a highly respected specialist in diabetes-related foot complications. He is a professor of surgery at Texas A&M Health Science Center College of Medicine, Scott and White Hospital in Temple, Texas.