Atlas of the diabetic foot

243 Pages·2003·6.808 MB·English

by  Nicholas Katsilambros, et al

Atlas of the Diabetic Foot
Professor Nicholas Katsilambros, MD
Directorofthe1st DepartmentofPropaedeuticMedicineandtheDiabeticCentre
Athens UniversityMedicalSchool
LaikoGeneralHospital
Athens,Greece
Eleftherios Dounis, MD, FACS
DirectoroftheOrthopedicDepartment
LaikoGeneralHospital
Athens,Greece
Panagiotis Tsapogas, MD
SeniorRegistrarinInternalMedicineandDiabetes
LaikoGeneralHosptial
Athens,Greece
Nicholas Tentolouris, MD
SeniorRegistrarinInternalMedicineandDiabetes
LaikoGeneralHospital

Athens,Greece

Atlas of the Diabetic Foot

Atlas of the Diabetic Foot
Professor Nicholas Katsilambros, MD
Directorofthe1st DepartmentofPropaedeuticMedicineandtheDiabeticCentre
Athens UniversityMedicalSchool
LaikoGeneralHospital
Athens,Greece
Eleftherios Dounis, MD, FACS
DirectoroftheOrthopedicDepartment
LaikoGeneralHospital
Athens,Greece
Panagiotis Tsapogas, MD
SeniorRegistrarinInternalMedicineandDiabetes
LaikoGeneralHosptial
Athens,Greece
Nicholas Tentolouris, MD
SeniorRegistrarinInternalMedicineandDiabetes
LaikoGeneralHospital

Athens,Greece
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Contents
Preface vii
Acknowledgments ix
Chapter I Who is the Patient at Risk for Foot Ulceration? 1
Chapter II Classification, Prevention and Treatment of Foot Ulcers 23
Chapter III Anatomical Risk Factors for Diabetic Foot Ulceration 41
Chapter IV Some Uncommon Conditions 73
Chapter V Neuropathic Ulcers at Various Sites 85
Chapter VI Neuro-Ischemic Ulcers at Various Sites 105
Chapter VII Gangrene 125
Chapter VIII Infections 151
Chapter IX Neuro-Osteoarthropathy. The Charcot Foot 185
Appendix 1 Anatomy of the Foot 213
Appendix 2 Manufacturers of Preventive and Therapeutic Footwear 217
Index 221

Preface
Diabetes mellitus is a common disease all over the world and its frequency is steadily
increasing. The availability of a wide variety of treatment options results in improvement
or even normalization of hyperglycemia as well as of the accompanying metabolic
disorders. However people with diabetes continue to suffer from the complications of
the disease.
Diabetic foot-related problems occur frequently and may have serious consequences.
Amputations at different anatomical levels are the most serious of them.
ThepresentAtlas representsasystematicdescriptionofthemanydifferentfootlesions,
which are often seen in diabetic patients. Each figure corresponds to a case treated in our
Diabetes Centre at the Athens University Medical School. Our patients are evaluated and
treated in collaboration with the Orthopedic Department as well as with other specialists
depending upon individual needs. A short text, which follows each illustration, describes
the history of the patient, the physical signs observed, the approach to treatment, and is
followed by a short comment.
It is hoped that this Atlas will be of assistance, as a reference guide and a teaching
instrument, not only to diabetologists and surgeons, but also to all doctors involved in
the treatment of diabetic patients. This book may help them not only to recognize and to
treat the diabetic foot lesions, but also to prevent them.
On behalf of the authors
N.Katsilambros