The Diabetic Foot: Medical and Surgical Management (Contemporary Diabetes)

In __The Diabetic Foot: Medical and Surgical Management__, 3rd Edition, a distinguished panel of clinicians provides a thorough update of the significant improvements in knowledge surrounding the pathogenesis of diabetic foot problems, as well as the optimal healthcare treatment for this debilitating condition. The authors, many practicing at the famous Joslin-Beth Israel Deaconess Foot Center, again illuminate the successful new multidisciplinary approach now clearly required for the successful treatment of diabetic foot. Drawing on the experiences of diabetologists, podiatrists, vascular surgeons, infectious disease specialists, orthotists, plastic and orthopedic surgeons, this invaluable third edition, so timely given the continued rise of diabetes and its complications, clearly describes established techniques known to be effective. This updated edition blends new knowledge with the time-tested principles of diabetic foot management and will be of significant value to all physicians and researchers with an interest in a state-of-the-art understanding of diabetic foot. Front Matter....Pages i-xiv Front Matter....Pages 1-1 Principles of Care in the Diabetic Surgical Patient....Pages 3-16 Epidemiology and Health Care Cost of Diabetic Foot Problems....Pages 17-32 Diabetic Polyneuropathy....Pages 33-58 Clinical Examination and Risk Classification of the Diabetic Foot....Pages 59-74 Clinical Features and Diagnosis of Peripheral Arterial Disease....Pages 75-85 Imaging of Infection in the Diabetic Foot....Pages 87-124 Front Matter....Pages 125-125 Physiology and Pathophysiology of Wound Healing in Diabetes....Pages 127-149 Neuropeptides and Diabetic Wound-Healing....Pages 151-162 Induced Regeneration of Skin and Peripheral Nerves in the Adult....Pages 163-183 Microvascular Changes in the Diabetic Foot....Pages 185-201 Biomechanics of the Diabetic Foot: The Road to Foot Ulceration....Pages 203-216 Diabetic Foot Ulcers: Effects of Hyperoxia and Stromal-Derived Factor-1α on Endothelial Progenitor Cells....Pages 217-229 Front Matter....Pages 231-231 Wound Bed Preparation of the Diabetic Foot Ulcer....Pages 233-253 Foot Pressure Abnormalities in the Diabetic Foot....Pages 255-274 Proactive Wound Care....Pages 275-287 Local Care of Diabetic Foot Ulcers: Assessment, Dressings, and Topical Treatments....Pages 289-306 Surgical Treatment of the Ulcerated Foot....Pages 307-329 Microbiology and Treatment of Diabetic Foot Infections....Pages 331-346 Lower Extremity Arterial Reconstruction in Patients with Diabetes Mellitus: Principles of Treatment....Pages 347-368 Charcot Arthropathy in the Diabetic Foot....Pages 369-393 Front Matter....Pages 231-231 Soft Tissue Reconstructive Options for the Ulcerated or Gangrenous Diabetic Foot....Pages 395-442 Amputations and Rehabilitation....Pages 443-469 Front Matter....Pages 471-471 Organization of the Diabetic Foot Care Team....Pages 473-479 Quality of Health Care....Pages 481-501 Psychosocial and Educational Implications of Diabetic Foot Complications....Pages 503-518 The Role of Footwear in the Prevention of Diabetic Foot Problems....Pages 519-536 Back Matter....Pages 537-554 A distinguished panel of clinicians-many practicing at the famous Joslin-Beth Israel Deaconess Foot Center- illuminate the successful new multidisciplinary approach now clearly required for the successful treatment of this medical problem. Drawing on the experiences of diabetologists, podiatrists, vascular surgeons, infectious disease specialists, orthotists, plastic and orthopedic surgeons, the book clearly describes established techniques known to be effective. The book provides recent information regarding the role of the increased inflammatory state of diabetes and the failure to heal the foot ulcer. In addition, emphasis has been given to the patient's education, wound bed preparation and the history and pathophysiology of wound healing. In its updated edition, this book covers important advances in knowledge of the pathogenesis of diabetic foot problems, and reviews optimal treatment for this debilitating condition. Blends new knowledge with time-tested principles of diabetic foot management. The Diabetic Foot 4 Preface 6 Contents 8 Contributors 12 Part I: Clinical Features and Diagnosis 16 Part II: Pathophysiology 138 Part III: Management of the Diabetic Foot 239 Part IV: Organization and Preventive Care 473 Index 536