Infection in diabetic foot is limb threatening Signs of infection may be absent in diabetic pt. with foot ulcer Superficial infection is usually caused by gram +ve cocci, deep infection is poly microbial
Surgical debridment is essential in acute deep infection Osteomylitis( diagnoses & treatment) Neuro-osteoarthropathy
Non- infective pathology Should be suspected in any swollen hot erythematous foot Differentiation from infection is
important to prevent misdiagnosis & possible amputation Treatment should aim at preventing severe deformity Diabetic Foot Ulcer Treatment
Multidisciplenary approach Staging dictate the treatment option Continuity of care & life long
observation Amputation in Diabetic Patient Increased minor\major amputation
increased the no. of deformed feet Minor amputation is needed : *Gangrene *As part of debriment *for correction of foot deformities Minor
amputation doesnt significantly compromise walking ability Major Amputation
Risk of loss walking ability
Mortality Risk of contra-lateral amputation Strict indication Careful choice of the level How To Prevent Foot Problems
5 corner stones Regular inspection & examination of foot & foot wear Identification of high risk patient
Education of patient, family & health care providers Appropriate foot wear Treatment of non ulcerative pathology SENSORY NEUROPATHY
Diabetic Neuropathy PERIPHRAL VASCULAR DISEASE Biomechanics of foot wearAREAS AT
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