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[The diabetic foot]
Agnès Hartemann-Heurtier1, Georges Ha Van
1Service de diabétologie Groupe hospitalier La Pitié-La Salpêtrière 75651 Paris. agnes.heurtier@psl.ap-hop-paris.fr
Abstract:
Diabetic patients are concerned with foot complications when a peripheral neuropathy is present. Screening of predisposed patients may be annually assessed using monofilament testing. Peripheral arterial disease, when associated, increases amputation risk. Ideal treatment requires a multidisciplinary approach with a first-line medical treatment including an optimal off-loading of the diabetic ulcer, ulcer dertersion, glycemic control, and if necessary antibiotic therapy. In case of associated osteomyelitis, a limited surgical resection of the infected bone may be performed. In case of associated arterial disease, a revascularization procedure precede bone resection.
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