J Korean Diabetes > Volume 12(2); 2011 > Article
The Journal of Korean Diabetes 2011;12(2):88-94.
DOI: https://doi.org/10.4093/kcd.2011.12.2.88    Published online June 1, 2011.
당뇨병성 족부질환의 수술치료
이동연, 김일영
Surgical Treatment of Diabetic Foot Disease.
Dong Yeon Lee, Il Young Kim
Department of Orthopedic Surgery, Seoul National Univesity Hospital, Seoul, Korea. leedy@snu.ac.kr
Abstract
Diabetic foot diseases which require surgical treatment consists of diabetic foot ulcer, infection and neuropathic arthropathy. Surgical procedures for diabetic foot ulcers and infections such as drainage, debridement, partial foot amputation and major limb amputation are most common procedures and arthodesis with or without deformity correction can be performed for specific diabetic neuropathic arthropathies. Underlying pathomechanism of diabetic foot disease includes diabetic peripheral neuropathy and vasculopathy. Treating physicians should be aware that concomitant complications of long-standing diabetic status such as cardiovascular and renal dysfunction should be addressed to treat intractable diabetic foot diseases successfully. However, with advent of adjuvant treatment which increases vascular supply on ischemic limb disease, proper surgical treatment on diabetic foot disease can prevent or delay major limb amputations, sustaining functional capability of diabetic patients.
Key Words: Diabetic foot disease, Ulcer, Infection, Neuropathic arthropathy, Debridment, Partial foot amputation, Major limb amputation


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