Diabetic foot: the orthopedic surgery angle.

Area of Science:

• Orthopedics
• Endocrinology
• Vascular Surgery

Background:

• Diabetes is a global pandemic, significantly impacting foot health.
• Diabetic foot complications include neuropathy, arterial disease, and infection, all affecting healing and increasing amputation risk.
• Early screening and classification of at-risk diabetic feet are crucial.

Purpose of the Study:

• To highlight the critical role of orthopedic surgeons in managing diabetic foot complications.
• To emphasize the need for a multidisciplinary approach and specialized centers for severe cases.
• To outline key management strategies, including prevention, revascularization, and appropriate surgical interventions.

Main Methods:

• Clinical examination to assess neuropathy, vascular insufficiency, and infection.
• Utilizing appropriate diagnostic work-up for individual patient assessment.
• Reviewing current management strategies and international recommendations for diabetic foot care.

Main Results:

• Diabetic foot management requires a multidisciplinary team with orthopedic surgeons playing a central biomechanical role.
• Revascularization surgery should precede orthopedic intervention in cases of critical vascular insufficiency.
• Specific protocols for managing ulcers, osteitis, amputations, and acute foot emergencies are essential.

Conclusions:

• Effective diabetic foot management necessitates a coordinated, multidisciplinary approach.
• Orthopedic surgeons are pivotal in preventing recurrence through biomechanical interventions.
• Accredited, specialized centers are urgently needed in regions like France to manage complex diabetic foot cases.