[Current management in the diagnosis and treatment of necrotic lesions of the diabetic foot]. / Attuali indirizzi nella diagnosi e nel trattamento delle lesioni necrotiche del piede diabetico.

ABSTRACT

A simplified classification for clinical pratical purposes of the diabetic foot necrotic lesions is proposed. Two types are considered both possibly with infection 1. The angiopathic foot, as a manifestation of the diabetic macro- and microangiopathy. 2. The angioneuropathic foot, as an association of the preminent diabetic neuropathy with diabetic microangiopathy and macroangiopathy. This classification proved suitable to 63 personal observations during the last 7 years. Diagnosis and treatement, planned by a diabetological-orthopedic cooperation, are specified for the two headings. The measure of systolic peripheral blood pressure by means of the ultrasonic device Doplette 10 Danica is introduced.