Abstract

DIABETIC FOOT ULCER: A REVIEW

*Vishwas A.T.L., Dr. Bhanushree D. M., Chethan B., Vinutha M. D. Prashanthi B., Nandan H. N.

ABSTRACT

Diabetic foot problems are common throughout the world, resulting in major medical, social and economic consequences for the patients, their families and society. Foot ulcers affect 15% of diabetic patients during their lifetime. Foot ulcers are more likely to be of neuropathic origin and therefore eminently preventable. Infected diabetic foot ulcers are a major cause of hospitalization in diabetic patients and most non-traumatic amputations are associated with diabetic foot infections. The most commonly used classification systems are the Wagner-Ulcer Classification system and the University of Texas Wound Classification. The management of diabetic foot ulcer (DFU) should be optimized by using a multidisciplinary team, due to a holistic approach to wound management is required. Based on studies, blood sugar control, wound debridement, advanced dressings and offloading modalities should always be a part of DFU management. Treatment of chronic wounds should be essentially directed against the main etiologic factors responsible for the wound. Amputations are usually the treatment of last resort but occasionally can be considered early to allow for faster mobilization and rehabilitation. This article will focus the causes, pathogenesis and recommended management pathways of diabetic foot ulcers.

Keywords: Diabetes mellitus, Amputation, Neuropathic, Debridement, Etiology.