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Management of the diabetic foot.

Publication ,  Journal Article
Harrelson, JM
Published in: Orthop Clin North Am
October 1989

Treatment of diabetic foot pathology requires an accurate assessment of the etiologic factors involved. Dysvascular deterioration may be amenable to vascular reconstruction. When the vascular status cannot be improved, however, amputation is preferable to continued conservative care. Neuropathic ulceration is the product of decreased sensation, deformity, and increased pressure at the site of the ulcer. Pressure relief by conservative or surgical means is required for healing. Neuroarthropathy is increasing in frequency and results primarily from autonomic denervation. Protection from weight bearing and orthotic control usually minimize deformity and ultimately restore the patient to an ambulatory status. Surgical intervention in neuroarthropathy may be effective when conservative means fail. All efforts at treatment may be undermined by poor compliance. Patient education, reinforced at each clinic visit, makes the patient a part of the treatment team.

Duke Scholars

Published In

Orthop Clin North Am

ISSN

0030-5898

Publication Date

October 1989

Volume

20

Issue

4

Start / End Page

605 / 619

Location

United States

Related Subject Headings

  • Skin Ulcer
  • Orthopedics
  • Humans
  • Foot Diseases
  • Diabetes Complications
  • Arthropathy, Neurogenic
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Harrelson, J. M. (1989). Management of the diabetic foot. Orthop Clin North Am, 20(4), 605–619.
Harrelson, J. M. “Management of the diabetic foot.Orthop Clin North Am 20, no. 4 (October 1989): 605–19.
Harrelson JM. Management of the diabetic foot. Orthop Clin North Am. 1989 Oct;20(4):605–19.
Harrelson, J. M. “Management of the diabetic foot.Orthop Clin North Am, vol. 20, no. 4, Oct. 1989, pp. 605–19.
Harrelson JM. Management of the diabetic foot. Orthop Clin North Am. 1989 Oct;20(4):605–619.
Journal cover image

Published In

Orthop Clin North Am

ISSN

0030-5898

Publication Date

October 1989

Volume

20

Issue

4

Start / End Page

605 / 619

Location

United States

Related Subject Headings

  • Skin Ulcer
  • Orthopedics
  • Humans
  • Foot Diseases
  • Diabetes Complications
  • Arthropathy, Neurogenic
  • 3202 Clinical sciences
  • 1103 Clinical Sciences