[Multidisciplinary approach to diabetic foot: a challenge of expertises]. / La gestione multidisciplinare del piede diabetico: una sfida di competenze.
G Ital Cardiol (Rome)
; 19(9): 495-503, 2018 Sep.
Article
in It
| MEDLINE
| ID: mdl-30087510
ABSTRACT
The diabetic foot represents one of the most dangerous complications of diabetic disease, and it is characterized by the presence of infection, ulceration, or necrosis of the foot tissues associated with various degrees of neuropathy or ischemia. If not correctly and promptly treated, it leads to high rates of major amputations. Although in Italy diabetics are about 5% of the population, more than 50% of major amputations are performed in diabetic patients. Compared to non-diabetic patients, diabetic peripheral artery disease localizes more distally, mostly in the below-the-knee vessels, is typically bilateral with multi-level involvement, and presents earlier onset and more aggressive course. The primary target of revascularization, either surgical or percutaneous, is the reconstitution of a direct flow line up to the suffering tissues, essential condition for healing. Revascularization alone, however, is not sufficient, it must be integrated in a multidisciplinary context, where the internal, infectious, surgical and orthopedic aspects of treatment can drive the patient on a personalized route towards limb salvage and recovery of walking.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Care Team
/
Diabetic Foot
/
Amputation, Surgical
Type of study:
Etiology_studies
Limits:
Humans
Country/Region as subject:
Europa
Language:
It
Journal:
G Ital Cardiol (Rome)
Journal subject:
CARDIOLOGIA
Year:
2018
Document type:
Article
Publication country:
IT
/
ITALIA
/
ITALY
/
ITÁLIA