Received date: Revised date: Accepted date: Please cite this article as: V. Obolenskiy, V. Protsko, E.
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Classification of diabetic foot, revisited. The authors propose a combined classification of diabetic foot syndrome, describing the localization anatomical division of the foot , pathophysiological stage of the process in the bones, the clinical degree of deformation, the presence and depth of the wound and the infection process.
This classification allows to determine the tactics of conducting the patient — the need for and type of surgical intervention, type and time of immobilization and unloading of the limb, indications for additional methods of treatment and to choose the most organoboranes treatment tactics of each patient.
Key words: diabetic foot, classification, algorithm of treatment. In Russia in 3,, patients with diabetes have been reported, while in the early as much as 4,, people. However, the research conducted in in the regions with the help of a mobile diabetes center, allows us to conclude that the real number of cases was times higher than the official statistics, and amounted 9—10 million by the early and, respectively, 13—14 million by the early All the existing classifications of the diabetic foot syndrome have their advantages and disadvantages, and each of them does not fully reflect the entire scope of possible problems that a patient with diabetic foot may encounter.
In the pathogenesis of the complications the leading role belongs to diabetic neuropathy and angiopathy, as well as osteoarthropathy, which is considered a subspecies of the neuropathic form of this syndrome.
In our view, osteoarthropathy and foot deformity have nothing to do with having or not having tissue ischemia. In addition, the widely used classifications — e. Let us assume that ischemia, and even more so critical limb ischemia primarily requires revascularization in one way or another.
Without this intervention any attempts to treat ulcers, deformations and bone-destructive processes in the foot are of little effect and the organ- preserving tactics has no chance of success. Therefore vascular pathology needs to be diagnosed, classified and if possible arrested before the treatment of the bone-destructive processes in the foot begins . Clinical examples of different stages according to SERW are illustrated on figures Comprehensive understanding of the issue, firstly, facilitates communication between podiatric endocrinologists, surgeons and orthopedists; secondly, it helps to determine the modality of treatment in each case: indications for and the type of surgery, type and duration of limb immobilization and stress relief, indications for and the duration of antibiotic therapy, additional treatment methods, ets.
It is well known that the issue of diabetic foot syndrome requires multidisciplinary approach. We invite experts to participate in the discussion. Information about the conflict of interests: The authors declare that no duality conflict of interests is associated with the publication of this article.
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Epub Sep Obolensky V.
Comparacion Sistemas Clasificacion Pie Diabetico
Introduction: Diabetic foot is a common cause of hospitalization. Objective: To examine the impact of revascularization on lower limb salvage. Method: Retrospective study of diabetic patients with foot ulcers. The extent of tissue loss was assessed according to the PEDIS and Wagner classifications, and revascularization indications and techniques were evaluated. Factors involved with major amputation and limb salvage were assessed with Fisher's and chi-square tests. Comorbidities, demographic variables, complications and mortality showed no differences when patients who required major amputation were compared with those who didn't.
2012, Número 3
Enter your email address and we'll send you a link to reset your password. Use in an inpatient setting in patients with diabetic foot ulcer of any duration. Do not use in patients with secondary diabetes or those with foot ulcers caused by autoimmune disease or malignancy. Please fill out required fields.