Diabetic foot disease afflicts nearly two million Americans and is the main cause of hospitalization for the diabetic patient, representing a substantial financial burden on both the health-care system and society-at-large. In The Diabetic Foot: Medical and Surgical Management, 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, and plastic and orthopedic surgeons, the book clearly describes established techniques known to be effective. Also highlighted are the many emerging treatments that will affect diabetic foot care in the years ahead, including a new understanding of wound-healing pathophysiology and the recent introduction of growth factors and living skin equivalents. Throughout, the emphasis is on the prevention of foot ulceration and its management using a multidisciplinary approach. Comprehensive and highly practical, The Diabetic Foot: Medical and Surgical Management will help all members of the diabetic foot treatment team not only to more fully understand the relevant pathophysiology, but also to prepare state-of-the-art treatment plans for diabetic patients with foot problems or at risk for developing them
CONTENT
1 Introduction to Diabetes: Principles of Care in the Surgical Patient with Diabetes -- 2 Epidemiology and Health Care Costs of Diabetic Foot Problems -- 3 Physiology and Pathophysiology of Wound Healing -- 4 Diabetic Polyneuropathy -- 5 Microvascular Changes in the Diabetic Foot -- 6 Clinical Features and Diagnosis of Macrovascular Disease -- 7 Foot Pressure Abnormalities in the Diabetic Foot -- 8 Biomechanics of the Diabetic Foot: The Road to Foot Ulceration -- 9 Clinical Examination of the Diabetic Foot and Identification of the At-Risk Patient -- 10 Radiographic Changes of the Diabetic Foot -- 11 Microbiology and Treatment of Diabetic Foot Infections -- 12 Charcot Changes in the Diabetic Foot -- 13 Principles of Treatment of the Chronic Wound -- 14 Local Care of the Diabetic Foot -- 15 Surgical Treatment of the Ulcerated Foot -- 16 Amputations and Rehabilitation -- 17 Reconstruction of Soft Tissue Defects of the Foot -- 18 Role of Growth Factors in the Treatment of Diabetic Foot Ulceration -- 19 Living Skin Equivalents for Diabetic Foot Ulcers -- 20 Vascular Surgery for the Diabetic Foot -- 21 Angioplasty and Other Noninvasive Surgical Procedures -- 22 Footwear in the Prevention of Diabetic Foot Problems
