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Diabetic foot 

Diabetic foot
Chapter:
Diabetic foot
Author(s):

Robert J. Hinchliffe

DOI:
10.1093/med/9780199658220.003.0030
Page of

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date: 15 October 2019

Diabetes-related complications of the lower limb involve a complex inter-play of many pathological processes that rapidly result in lower limb amputation if poorly managed. Over the coming years, diabetes-related complications of the lower limb will form a major and increasing component of the vascular surgery workload. The vascular surgeon should be familiar with all aspects of the pathogenesis, clinical features, investigations, and potential therapeutic modalities currently available to this specific group of patients. The vascular surgeon plays a central role in the management of these patients, not least because the majority of patients with diabetes and foot disease have peripheral arterial disease (PAD). The presence of neuropathy and distribution of disease renders the diagnosis of PAD, the decision to revascularize and any revascularization procedure frequently more difficult than in patients without diabetes. Because of the complex nature of pathologies patients with diabetes are best managed in a coordinated inter-disciplinary fashion to optimize outcomes.

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