When Diabetic Foot Ulcers Can Be Managed At Home

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In this photo, one can see the same wound after three weeks of home care.
Here is the same wound after six weeks of home care.
A 60-year-old patient, who has had type II diabetes for over 20 years, presented with an infected deep necrotic ulceration of the hallux. The author performed a hallux and partial first metatarsal amputation to stabilize the acute, limb-threatening infect
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Author(s): 
By Ronald A. Sage, DPM




References:

References

1. Mayfield JA, Reiber GE, Sanders LJ, Janisse D, Pogach LM. Preventive foot care in people with diabetes. Diabetes Care 1998; 21 (12): 2161-2177.

2. Pecoraro RE, Reiber GE, Burgess EM. Pathways to limb amputation. Diabetes Care 1990; 13: 513-521.

3. Reiber GE, Boyko EJ, Smith DG. Lower extremity foot ulcers and amputations in diabetes. In: Diabetes in America, 2nd edition. (NIH publication number 95-1468), Harris MI, editor, U.S. Government Printing Office, Washington, DC, 1995.

4. Armstrong DG, Lavery LA, Harkless LB. Validation of a diabetic wound classification system; the contribution of depth, infection, and ischemia to risk of amputation. Diabetes Care 1998; 21: 855-859.

5. Frykberg RG, Armstrong DG, Giurini J, Edwards A, et al. Diabetic Foot Disorders, A Clinical Practice Guideline. American College of Foot and Ankle Surgeons, Data Trace Publishing Company, PO Box 1239, Brooklandville, MD, 212022-9978, 2000.

6. Eckman MH, Greenfield SG, Mackey WC, Wong JB, et al. Foot infections in diabetic patients, Decision and cost effectiveness analyses. JAMA 1995, 273 (9): 712-720.

7. American Diabetes Association. Consensus development conference on diabetic foot wound care. Diabetes Care 1999: 22 (8) 1354-1360.

8. Armstrong DG, Nguyen HC, Lavery LA, van Schie CHM, et al. Off-loading the diabetic foot wound. Diabetes Care 2001, 24(6): 1019-1027.

9. American Diabetes Association. Preventive foot care in people with diabetes. Diabetes Care 2002, 25 supplement 1: S69-S70.

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