BOOK
Medical and Surgical Management of the Diabetic Foot and Ankle, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book
(2014)
Additional Information
Book Details
Abstract
This issue of Clinics in Podiatric Medicine and Surgery is edited by Dr. Peter Blume and Perioperative Management of the Patient with Diabetes Mellitus, Diabetes Mellitus and Peripheral Vascular Disease, Imaging of the Diabetic Foot And Ankle, Current Therapies for Diabetic Foot Infections and Osteomyelitis, Offloading of the Diabetic Foot: Orthotic and Pedorthic Strategies, Prosthetic Management For the Diabetic Amputee, and more.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Medical and Surgical Management of theDiabetic Foot and Ankle\r | i | ||
| Copyright\r | ii | ||
| Contributors | v | ||
| Contents | ix | ||
| Forthcoming Issues | xii | ||
| Foreword\r | xiii | ||
| Preface\r | xv | ||
| Perioperative Management of the Patient with Diabetes Mellitus | 1 | ||
| Key points | 1 | ||
| Introduction | 1 | ||
| Perioperative assessment | 2 | ||
| Perioperative management | 2 | ||
| Cardiac Disease | 2 | ||
| Renal Disease | 3 | ||
| Glucose Control | 7 | ||
| Summary | 9 | ||
| References | 9 | ||
| Diabetes Mellitus and Peripheral Vascular Disease | 11 | ||
| Key points | 11 | ||
| Introduction: nature of the problem | 11 | ||
| Epidemiology | 11 | ||
| Pathologic Basis | 12 | ||
| Diabetes mellitus | 12 | ||
| PAD in DM | 13 | ||
| Patient history | 13 | ||
| Physical examination | 14 | ||
| Vascular Examination | 14 | ||
| Ulcer Examination | 15 | ||
| Imaging and additional testing | 15 | ||
| Noninvasive Studies | 15 | ||
| Ultrasound | 16 | ||
| Computed Tomography Angiography | 17 | ||
| MRA | 19 | ||
| DSA | 19 | ||
| Therapeutic options and surgical techniques | 20 | ||
| General Medical Management | 20 | ||
| Open Surgical Options | 21 | ||
| Endovascular Options | 22 | ||
| Summary | 23 | ||
| References | 24 | ||
| New Modalities in the Chronic Ischemic Diabetic Foot Management | 27 | ||
| Key points | 27 | ||
| Introduction | 27 | ||
| Cell therapy | 28 | ||
| Autologous Stem Cells Transplantation | 28 | ||
| Processed Lipoaspirate Cells | 33 | ||
| Drugs | 35 | ||
| Prostaglandins | 35 | ||
| Granulocyte Colony-Stimulating Factor | 36 | ||
| Heberprot-P | 36 | ||
| De Marco Formula | 37 | ||
| Rheologic treatment | 37 | ||
| Low-Dose Urokinase | 37 | ||
| Heparin-Induced Extracorporal Low-Density Lipoprotein Precipitation in Diabetic Foot Syndrome | 38 | ||
| Summary | 39 | ||
| References | 39 | ||
| Imaging of Diabetic Foot Infections | 43 | ||
| Key points | 43 | ||
| Introduction | 43 | ||
| Plain radiographs | 43 | ||
| Musculoskeletal ultrasound | 44 | ||
| Radionuclide bone scans | 45 | ||
| MRI | 47 | ||
| CT | 51 | ||
| Single-photon emission CT/CT | 52 | ||
| References | 54 | ||
| Current Therapies for Diabetic Foot Infections and Osteomyelitis | 57 | ||
| Key points | 57 | ||
| Introduction | 57 | ||
| Statistics and recent developments | 57 | ||
| Diagnosis, imaging modalities, and related controversies | 58 | ||
| Decision for nonoperative versus operative management | 60 | ||
| Surgical approach | 61 | ||
| Novel surgical techniques using antibiotic delivery systems | 64 | ||
| Outcomes | 65 | ||
| Recurrence of infection or osteomyelitis | 66 | ||
| Summary | 66 | ||
| References | 67 | ||
| Offloading of the Diabetic Foot | 71 | ||
| Key points | 71 | ||
| Introduction: nature of the problem | 71 | ||
| Therapeutic options | 72 | ||
| Different initial presentations | 72 | ||
| Ideal Foot | 72 | ||
| Diabetic Foot with Preulcerative Callus | 73 | ||
| Diabetic Foot with Ulceration | 73 | ||
| Diabetic Foot Requiring Surgical Correction | 76 | ||
| Clinical correlation and outcomes | 78 | ||
| Orthotic Materials | 78 | ||
| Therapeutic Shoes | 80 | ||
| Rocker Bottom | 80 | ||
| Braces | 81 | ||
| Ankle-foot Orthosis | 83 | ||
| Charcot Restraint Orthotic Walker | 83 | ||
| Total Contact Cast | 83 | ||
| Complications and concerns | 85 | ||
| Summary | 87 | ||
| References | 87 | ||
| Bioengineered Alternative Tissues | 89 | ||
| Key points | 89 | ||
| Classifications of BATs | 91 | ||
| Epidermal BATs | 93 | ||
| Dermal BATs | 94 | ||
| Bilayer BATs | 95 | ||
| Future of BATs | 98 | ||
| References | 99 | ||
| Partial Foot Amputations for Salvage of the Diabetic Lower Extremity | 103 | ||
| Key points | 103 | ||
| Introduction | 103 | ||
| Surgical considerations | 104 | ||
| First ray amputation | 107 | ||
| Hallux Distal Syme Amputation | 107 | ||
| Hallux Amputation | 108 | ||
| Partial or Complete First Ray Resection | 110 | ||
| Central ray amputation | 112 | ||
| Central Toe Distal Syme Amputation | 112 | ||
| Central Toe Amputation | 113 | ||
| Central Ray Amputation | 115 | ||
| Fifth ray amputation | 116 | ||
| Partial Fifth Ray Amputation | 116 | ||
| Complete Fifth Ray Amputation | 116 | ||
| Transmetatarsal amputation | 119 | ||
| Midfoot and rearfoot amputations | 121 | ||
| Summary | 125 | ||
| References | 125 | ||
| The Role of Plastic Surgery for Soft Tissue Coverage of the Diabetic Foot and Ankle | 127 | ||
| Key points | 127 | ||
| General principles for success in flaps and grafts | 127 | ||
| Patient health parameters | 128 | ||
| Anatomy | 129 | ||
| Physiologic considerations in flaps | 130 | ||
| Intraoperative care and flap technique | 130 | ||
| Advancement Flaps | 131 | ||
| V-to-Y flaps | 132 | ||
| Double V-to-Y flaps | 132 | ||
| Rotation Flaps | 133 | ||
| Classic rotation flap | 133 | ||
| Single rotation flap | 133 | ||
| Transposition Flaps | 134 | ||
| Rhomboid or limberg flap | 135 | ||
| Single lobe flap | 136 | ||
| Bilobed flap | 137 | ||
| Skin Grafts | 137 | ||
| Physiology considerations in grafting | 138 | ||
| Skin contraction in skin grafts | 139 | ||
| Indications | 140 | ||
| Preoperative preparation of the recipient bed | 140 | ||
| Intraoperative preparation of the recipient bed | 140 | ||
| Technique of split-thickness skin graft donor site harvesting with power instrumentation | 141 | ||
| Meshing and pie-crusting | 141 | ||
| Application of the split-thickness skin graft | 142 | ||
| Dressing the skin graft | 142 | ||
| Postoperative care | 142 | ||
| Skin graft and skin flap complications | 143 | ||
| References | 144 | ||
| Charcot Neuroarthropathy of the Foot and Ankle | 151 | ||
| Key points | 151 | ||
| Charcot foot and ankle | 151 | ||
| History of Charcot | 151 | ||
| Definition of Charcot Osteoarthropathy | 152 | ||
| Etiology of Charcot Osteoarthropathy | 152 | ||
| Diagnosing Charcot osteoarthropathy | 154 | ||
| Clinical Diagnosis | 154 | ||
| Imaging Modalities for Diagnosis | 155 | ||
| Laboratory Diagnosis | 156 | ||
| Treatment protocol | 156 | ||
| Adjunctive Therapy | 157 | ||
| Recurrence After Treatment | 157 | ||
| Goals of Surgical Treatment | 157 | ||
| Adjunctive Surgical Procedures | 160 | ||
| Fixation for Surgical Reconstruction | 161 | ||
| Charcot Osteoarthropathy with Osteomyelitis | 162 | ||
| Deformity Correction Algorithm | 163 | ||
| Patients with Charcot osteoarthropathy are complex patients | 164 | ||
| Summary | 166 | ||
| References | 166 | ||
| Prosthetic Options Available for the Diabetic Lower Limb Amputee | 173 | ||
| Key points | 173 | ||
| Introduction | 173 | ||
| Prosthesis | 174 | ||
| Socket | 174 | ||
| Liners and Sleeves | 175 | ||
| Suspension System | 176 | ||
| Shank | 176 | ||
| Below-knee prostheses | 176 | ||
| Manual Locking Knee | 177 | ||
| Single-Axis, Constant Friction Knee | 178 | ||
| Polycentric Axis Knee | 179 | ||
| Fluid Control Knees | 179 | ||
| Microprocessor Controlled or “Intelligent Knee” | 179 | ||
| Power Knee | 180 | ||
| Prosthetic ankle and foot | 180 | ||
| Nonenergy Returning Feet | 180 | ||
| SACH | 180 | ||
| Single-axis foot | 180 | ||
| Multi-axis foot | 181 | ||
| Energy-Returning Feet | 181 | ||
| Microprocessor Feet | 182 | ||
| Proprio foot | 182 | ||
| iWALK | 182 | ||
| Partial foot amputation | 182 | ||
| Summary | 184 | ||
| References | 184 | ||
| Index | 187 |