Management of the diabetic foot.


Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Harrelson, JM

Published Date

  • October 1989

Published In

Volume / Issue

  • 20 / 4

Start / End Page

  • 605 - 619

PubMed ID

  • 2797753

Pubmed Central ID

  • 2797753

International Standard Serial Number (ISSN)

  • 0030-5898


  • eng

Conference Location

  • United States