The Evolution of the Multidisciplinary Approach to the Diabetic Foot

The multidisciplinary team approach to diabetic foot care has evolved over the past century. This article traces the development of collaborative care models from their origins to their global implementation. Key figures pioneered innovations in surgical techniques and team-based approaches that dramatically reduced amputation rates. The integration of podiatrists within these teams has proven particularly impactful. Contemporary multidisciplinary teams focus on 4 areas: glycemic control, wound management (including surgical reconstruction), vascular intervention, and infection control. This comprehensive team approach has demonstrated the capacity to reduce major amputations by up to 94%.