A Review of the Basis of Surgical Treatment of Diabetic Foot Infections

作者：Aragon Sanchez Javier^*

来源：The International Journal of Lower Extremity Wounds, 2011, 10(1): 33-65.

DOI：10.1177/1534734611400259

• diabetic foot
• diabetic foot infections
• osteomyelitis
• bone infection
• foot ulcer
• necrotizing soft tissue infections
• lower limb amputation
• peripheral vascular disease
• critical ischemia

Infection is an extremely challenging complication of foot ulcers in patients with diabetes. Surgery as part of a multidisciplinary approach is key in the management of many types of diabetic foot infections (DFIs). Unfortunately, the surgical treatment of DFIs is based more on clinical judgment and less on structured evidence, which leaves unresolved doubts. The clinical presentation of DFIs is varied. This review examines the basis of nonvascular surgical treatment of DFIs, emphasizing the importance of the anatomic concepts of the foot, the variety of its clinical presentations, and the concepts of timing surgery. Recent evidence and case reports based on the author's experience are presented in 2 parts. The first part examines clinical presentation of infections, whereas the second part deals with imaging, foot anatomy, and some case reports.

• 出版日期2011-3